This log is also available as text (215cc.txt) and as a (binary) annotation file (215cc.log).
Generated: Thursday, 23-Apr-2009 00:35:23 EDT
(All dates below are surrogates.)
id: Fingerstick Glucose t0: [17:00:00 03/03/2020] el: 0 cg: CoWker cu: CCU v1: 164 n1: 164 rs: Manual st: NotStopd
id: Service Type t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 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: [18:00:00 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: [18:00:00 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: [18:00:00 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: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:00:00 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: [18:00:00 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: [18:00:00 03/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [18:00:00 03/03/2020] el: 1 ai: 168 cg: RN cu: CCU vu: ml nb: 1
id: Fentanyl t0: [18:00:00 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: [18:00:00 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: Insulin io: .9% Normal Saline 100.0ml + 100Uhr Insulin el: 100 cg: RN cu: CCU am: 100 du: Uhr rt: IV Drip
pi: 4383032 hi: 10078 t0: [18:00:00 03/03/2020] tf: [19:00:00 03/03/2020] mn: Sulfameth/Trimethoprim pt: IV Piggyback st: Discontinued rt: IV fr: BID ds: 18, 06 dn: 2 di: Ongoing xu: Enter on Label pi: 4383076 hi: 10078 t0: [18:00:00 03/03/2020] tf: [09:00:00 04/03/2020] pt: IV Piggyback st: Discontinued rt: PB fr: BID ds: 18, 06 dn: 2 di: Ongoing xu: Enter on Label
pi: 4383226 hi: 10078 t0: [10:00:00 03/03/2020] tf: [20:00:00 01/04/2020] mn: PredniSONE pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 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: [19:00:00 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: [19:00:00 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: [19:00:00 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: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 03/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 1 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 03/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 0.25 vu: ml id: Urine Out Foley t0: [18:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [19:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 03/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [19:00:00 03/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [19:00:00 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: [19:00:00 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: Insulin t0: [19:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 90 n1: 90 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 0.9 n1: 0.9 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 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: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 14.7 n1: 14.7 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 1600 n1: 1600 st: NotStopd id: Tank B psi. t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 630 n1: 630 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 03/03/2020] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 03/03/2020] el: 1 cg: RN cu: CCU v1: Unstbl Vent Stat st: NotStopd id: Risk for Falls t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: Edema Location/Amt#1 t0: [19:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: Eye Care t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Care t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Care t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Family Communication t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: Family Communication t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GCS Total t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: HOB t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 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: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 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: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v2: 22 gauge st: NotStopd id: IV #2 Insert Date t0: [20:00:00 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: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV Site Appear #2 t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Oral Care t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 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: [20:00:00 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: [20:00:00 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: [20:00:00 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: [20:00:00 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: [20:00:00 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: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Support Systems t0: [16:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [20:00:00 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: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: Temp. Site t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: TF Residual t0: [18:00:00 03/03/2020] el: 1 ai: 209 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 03/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 1 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 03/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 0.25 vu: ml id: Urine Out Foley t0: [20:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 03/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [20:00:00 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: [20:00:00 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: Insulin t0: [20:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [20:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 175 n1: 175 rs: Manual st: NotStopd
id: Art.pH t0: [21:03:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.26 n1: 7.26 rs: Final st: NotStopd id: Arterial Base Excess t0: [21:03:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [21:03:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [21:03:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [21:03:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 207 n1: 207 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [21:03:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.26 n1: 7.26 rs: Final st: NotStopd
id: Service Type t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CaO2 t0: [21:03:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 11.6726 n1: 11.6726 u1: ml/dl st: NotStopd id: Code Status t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 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: [21:00:00 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: [21:00:00 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: [21:00:00 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: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [21:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: SaO2 t0: [21:03:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 03/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 1 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 03/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 0.25 vu: ml id: Urine Out Foley t0: [21:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 03/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml
id: Fentanyl t0: [21:00:00 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: [21:00:00 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: Fingerstick Glucose t0: [21:00:00 03/03/2020] el: 0 cg: CoWker cu: CCU v1: 186 n1: 186 rs: Manual st: NotStopd
id: Cuff Pressure-Airway t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 52 n1: 52 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 0.7 n1: 0.7 u1: torr st: NotStopd id: High Insp. Pressure t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 8 n1: 8 st: NotStopd id: Apnea Time Interval t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Ve High t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: SpO2 t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Small st: NotStopd id: Ventilator Type t0: [21:30:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd
pi: 4383745 hi: 10078 t0: [23:00:00 03/03/2020] tf: [00:00:00 21/03/2020] mn: Albuterol pt: Unit Dose st: Discontinued rt: IH fr: Q6H:PRN di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [22:00:00 03/03/2020] el: 0 cg: CoWker cu: CCU v1: 177 n1: 177 rs: Manual st: NotStopd
id: TF Residual t0: [22:00:00 03/03/2020] el: 1 ai: 209 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [22:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 10 vu: ml id: Nepro 10.0str t0: [20:00:00 03/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Nepro 10.0str t0: [21:00:00 03/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml id: Nepro 10.0str t0: [22:00:00 03/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml
id: Less Restrict Meas. t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Circulation/SkinInt t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: Position Change t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Restraint Location t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Pt./Family Informed t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 03/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 1.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 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: [22:00:00 03/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml
id: Insulin t0: [21:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Micro-Neb Treatment t0: [23:00:00 03/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4383929 hi: 10078 t0: [00:00:00 04/03/2020] tf: [23:00:00 04/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml LR Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Pain Present t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [23:00:00 03/03/2020] el: 1 cg: RN cu: CCU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Zero/Cal t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Abdominal Assessment t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #2 D/C Date t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: Activity t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 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: [23:00:00 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: [22:00:00 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: [23:00:00 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: [22:00:00 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: [23:00:00 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: [22:00:00 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: [23:00:00 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: [22:00:00 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: [23:00:00 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: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Skin Care t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 03/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 1.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 03/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 0.25 vu: ml id: Urine Out Foley t0: [23:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 03/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [23:00:00 03/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [22:00:00 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: [23:00:00 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: [22:00:00 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: [23:00:00 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: Insulin t0: [22:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [23:00:00 03/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 03/03/2020] el: 3 cg: RN cu: CSRU pv: 8.75 cv: 1902.25 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 03/03/2020] el: 3 cg: RN cu: CSRU pv: 18.75 cv: 1952.25 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 03/03/2020] el: 3 cg: RN cu: CSRU pv: 25 cv: 25 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 03/03/2020] el: 2 cg: RN cu: CCU pv: 10 cv: 50 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 03/03/2020] el: 3 cg: RN cu: CSRU pv: 10 cv: 50 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 03/03/2020] el: 3 cg: RN cu: CSRU pv: 25 cv: 757 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 03/03/2020] el: 3 cg: RN cu: CSRU 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: 3 cg: RN cu: CSRU 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: 3 cg: RN cu: CSRU pv: -6.25 cv: -6.25 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 03/03/2020] el: 3 cg: RN cu: CSRU pv: 25 cv: 757 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 187 n1: 187 rs: Manual st: NotStopd
id: Art.pH t0: [23:28:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: CaO2 t0: [23:28:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 11.0972 n1: 11.0972 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [23:28:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: -9 n1: -9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:28:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 17 n1: 17 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:28:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:28:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 94 n1: 94 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:28:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: SaO2 t0: [23:28:00 03/03/2020] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: FiO2 Set t0: [22:15:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Service Type t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: Heart Rate t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 04/03/2020] 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: [00:00:00 04/03/2020] 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: [00:00:00 04/03/2020] 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: [00:00:00 04/03/2020] 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: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Rate t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Temp. Site t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Pt./Family Informed t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Lactated Ringers t0: [00:00:00 04/03/2020] el: 1 ai: 106 cg: RN cu: CCU vo: 500 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 1.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 0.25 vu: ml id: Urine Out Foley t0: [00:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [00:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [00:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 50 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [00:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 50 n1: 50 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 13.8 n1: 13.8 u1: L/min st: NotStopd id: PEEP Set t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Previous WeightF t0: [01:00:00 03/03/2020] el: 0 cg: RRts cu: CCU u1: kg st: NotStopd id: Resp Rate (Spont) t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 32 n1: 32 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 650 n1: 650 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [23:45:00 03/03/2020] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 199 n1: 199 rs: Manual st: NotStopd
id: Service Type t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 04/03/2020] 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: [01:00:00 04/03/2020] 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: [01:00:00 04/03/2020] 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: [01:00:00 04/03/2020] 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: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 1.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [01:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [01:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 10 vu: ml
id: Fentanyl t0: [01:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [01:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [01:19:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: CaO2 t0: [01:19:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 11.4773 n1: 11.4773 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [01:19:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [01:19:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [01:19:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [01:19:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [01:19:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: SaO2 t0: [01:19:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Service Type t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Level of Conscious t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Oral Cavity t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Arterial BP t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 04/03/2020] 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: [02:00:00 04/03/2020] 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: [02:00:00 04/03/2020] 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: [02:00:00 04/03/2020] 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: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: TF Residual t0: [02:00:00 04/03/2020] el: 1 ai: 209 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.5 vu: ml id: Urine Out Foley t0: [02:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [02:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml
id: Fentanyl t0: [02:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [02:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 160 n1: 160 rs: Manual st: NotStopd
id: Fingerstick Glucose t0: [01:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 187 n1: 187 rs: Manual st: NotStopd
id: Service Type t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 04/03/2020] 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: [03:00:00 04/03/2020] 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: [03:00:00 04/03/2020] 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: [03:00:00 04/03/2020] 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: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [03:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Riker-SAS Scale t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Oral Care t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Fingerstick Glucose t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 161 n1: 161 rs: Manual st: NotStopd
id: Insulin t0: [03:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 34.6154 n1: 34.6154 u1: ml/cmH st: NotStopd id: Cuff Pressure-Airway t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: RSBI Not Completed t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 12.2 n1: 12.2 u1: L/min st: NotStopd id: PEEP Set t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Rec. Breath Pressure t0: [03:00:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 36 n1: 36 st: NotStopd id: Rec.Breath Time(sec) t0: [03:00:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 30 n1: 30 st: NotStopd id: Resp Rate (Spont) t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:35:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: IV #2 Reason DC'D t0: [04:00:00 04/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: FiO2 Set t0: [03:58:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: FiO2 Set t0: [04:00:00 04/03/2020] el: 0 cg: RRts cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: IV #2 D/C Date t0: [04:00:00 04/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Insert Date t0: [04:00:00 04/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #2 Site/Size t0: [04:00:00 04/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #2 t0: [04:00:00 04/03/2020] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4384481 hi: 10078 t0: [05:00:00 04/03/2020] tf: [04:00:00 05/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml LR Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Fingerstick Glucose t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 142 n1: 142 rs: Manual st: NotStopd
id: Service Type t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 04/03/2020] 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: [04:00:00 04/03/2020] 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: [04:00:00 04/03/2020] 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: [04:00:00 04/03/2020] 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: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 35.8889 n1: 35.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 96.6 n1: 96.6 u1: Deg. F st: NotStopd id: calprevflg t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lactated Ringers t0: [04:00:00 04/03/2020] el: 1 ai: 106 cg: RN cu: CCU vo: 500 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 3 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.5 vu: ml id: Urine Out Foley t0: [03:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [03:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml id: Nepro 10.0str t0: [04:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml
id: Fentanyl t0: [04:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [04:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Circulation/SkinInt t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Type/Site t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1InsertDate t0: [23:00:00 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: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Type/Site t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2InsertDate t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: IV #1 Insert Date t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Insert Date t0: [23:00:00 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: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v2: 22 gauge st: NotStopd id: IV #1 Site/Size t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v2: 22 gauge st: NotStopd id: IV #2 Insert Date t0: [23:00:00 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: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: LL Ant Forearm v2: 20 gauge st: NotStopd id: IV Site Appear #1 t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Position Change t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Dsg Change t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: Reason For Restraint t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Rate t0: [03:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Cap Change t0: [23:00:00 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: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [23:00:00 03/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: Pt./Family Informed t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Pain Present t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Location t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd
id: Service Type t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 04/03/2020] 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: [05:00:00 04/03/2020] 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: [05:00:00 04/03/2020] 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: [05:00:00 04/03/2020] 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: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [05:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [05:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: GI Prophylaxis t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: Abdominal Assessment t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: RLL Lung Sounds t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Urine Color/Appear t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [05:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml
id: Fingerstick Glucose t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 131 n1: 131 rs: Manual st: NotStopd
id: Art.pH t0: [05:22:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:22:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:22:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:22:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:22:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 110 n1: 110 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:22:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: SaO2 t0: [05:22:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: HOB t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Position t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd
id: BUN t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 123 n1: 123 rs: Final st: NotStopd id: Calcium t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 5.4 n1: 5.4 rs: Final st: NotStopd id: Glucose t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Magnesium t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Potassium t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 4.8 n1: 4.8 rs: Final st: NotStopd id: Sodium t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd id: BUN (6-20) t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 123 n1: 123 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 18 n1: 18 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 5.4 n1: 5.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 4.8 n1: 4.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 137 n1: 137 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 10.7 n1: 10.7 rs: Final st: NotStopd id: CaO2 t0: [05:22:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 11.3893 n1: 11.3893 u1: ml/dl st: NotStopd id: WBC t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 10.7 n1: 10.7 rs: Final st: NotStopd id: Hematocrit t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 27.5 n1: 27.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 8.5 n1: 8.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 364 n1: 364 rs: Final st: NotStopd id: RBC t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 3.39 n1: 3.39 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 10.7 n1: 10.7 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 120 n1: 120 rs: Manual st: NotStopd
id: Insulin t0: [06:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Service Type t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: Heart Rate t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 04/03/2020] 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: [06:00:00 04/03/2020] 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: [06:00:00 04/03/2020] 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: [06:00:00 04/03/2020] 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: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Rate t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: calprevflg t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [02:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Behavior t0: [04:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Behavior t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.5 vu: ml id: Urine Out Foley t0: [05:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [06:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml
id: Fentanyl t0: [06:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Phosphorous t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 u1: mEq/L rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:02:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 u1: mEq/L rs: Final st: NotStopd
id: Precautions t0: [06:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd
id: Service Type t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 04/03/2020] 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: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 04/03/2020] 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 04/03/2020] 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 04/03/2020] 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 04/03/2020] 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 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [07:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [07:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml
id: Fentanyl t0: [07:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [07:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 1:1.4 st: NotStopd id: Airway Size t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 12.4 n1: 12.4 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 1600 n1: 1600 st: NotStopd id: Ve High t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 451 n1: 451 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
pi: 4384898 hi: 10078 t0: [20:00:00 04/03/2020] tf: [11:00:00 05/03/2020] mn: Metoprolol pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 04/03/2020] el: 1 cg: RN cu: CCU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 04/03/2020] 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 04/03/2020] el: 0 cg: RN cu: CCU v2: 22 gauge st: NotStopd id: Activity t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 04/03/2020] 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: [08:00:00 04/03/2020] 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: [08:00:00 04/03/2020] 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: [08:00:00 04/03/2020] 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: [08:00:00 04/03/2020] 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 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: Temp. Site t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 124 n1: 124 rs: Manual st: NotStopd id: Bowel Sounds t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: TF Residual t0: [08:00:00 04/03/2020] el: 1 ai: 209 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.5 vu: ml id: Urine Out Foley t0: [08:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [08:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml
id: Fentanyl t0: [08:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [08:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 04/03/2020] 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 04/03/2020] 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 04/03/2020] 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 04/03/2020] 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 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [09:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 143 n1: 143 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [09:00:00 04/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.5 vu: ml id: Urine Out Foley t0: [09:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [09:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml
id: Fentanyl t0: [09:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [09:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 4385254 hi: 10078 t0: [16:00:00 04/03/2020] tf: [19:00:00 08/03/2020] mn: Aluminum Hydroxide Suspension pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4385255 hi: 10078 t0: [11:00:00 04/03/2020] tf: [00:00:00 10/03/2020] mn: Pantoprazole pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q24H ds: 11 dn: 1 di: Ongoing xu: Enter on Label
id: Service Type t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 04/03/2020] 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 04/03/2020] 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 04/03/2020] 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 04/03/2020] 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 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 147 n1: 147 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.5 vu: ml id: Urine Out Foley t0: [10:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [10:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml
id: Fentanyl t0: [10:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [10:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: HOB t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Position t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Back Care t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Circulation/SkinInt t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: Position Change t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Restraint Location t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Pt./Family Informed t0: [10:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [10:00:00 04/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Art.pH t0: [10:38:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: CaO2 t0: [10:38:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 11.5435 n1: 11.5435 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [10:38:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [10:38:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [10:38:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [10:38:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 123 n1: 123 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [10:38:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: SaO2 t0: [10:38:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
pi: 4385267 hi: 10078 t0: [12:00:00 04/03/2020] tf: [14:00:00 05/03/2020] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 24H ds: 12 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 04/03/2020] 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 04/03/2020] 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 04/03/2020] 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 04/03/2020] 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 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [11:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 122 n1: 122 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 7 vu: ml id: Nepro 10.0str t0: [11:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml
id: Insulin t0: [11:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fentanyl t0: [11:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 70 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Service Type t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: Precautions t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: Precautions t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: Precautions t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: Precautions t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: Precautions t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:05:00 04/03/2020] 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: [11:10:00 04/03/2020] 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: [11:15:00 04/03/2020] 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: [11:20:00 04/03/2020] 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: [11:25:00 04/03/2020] 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: [11:30:00 04/03/2020] 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: [11:05:00 04/03/2020] 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: [11:10:00 04/03/2020] 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: [11:15:00 04/03/2020] 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: [11:20:00 04/03/2020] 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: [11:25:00 04/03/2020] 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: [11:30:00 04/03/2020] 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: [11:05:00 04/03/2020] 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: [11:10:00 04/03/2020] 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: [11:15:00 04/03/2020] 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: [11:20:00 04/03/2020] 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: [11:25:00 04/03/2020] 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: [11:30:00 04/03/2020] 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: [11:05:00 04/03/2020] 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: [11:10:00 04/03/2020] 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: [11:15:00 04/03/2020] 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: [11:20:00 04/03/2020] 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: [11:25:00 04/03/2020] 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: [11:30:00 04/03/2020] 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: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [11:05:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:10:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:15:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:20:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:25:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:30:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [11:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 15 vu: ml
id: Fentanyl t0: [11:05:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 70 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:10:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 70 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:15:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 70 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:20:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:05:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:10:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:15:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:20:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [11:05:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [11:10:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [11:15:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [11:20:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [11:25:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [11:30:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 1:1.4 st: NotStopd id: Airway Size t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 13.1 n1: 13.1 u1: L/min st: NotStopd id: Apnea Time Interval t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 1600 n1: 1600 st: NotStopd id: Ve High t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Compliance (40-60ml) t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: ml/cmH st: NotStopd id: Mean Airway Pressure t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: PEEP Set t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd
pi: 4385432 hi: 10078 t0: [13:00:00 04/03/2020] tf: [20:00:00 01/04/2020] mn: Artificial Tears pt: Unit Dose st: Discontinued via patient discharge rt: OU fr: PRN di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 04/03/2020] el: 1 cg: RN cu: CCU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: GCS Total t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 04/03/2020] 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 04/03/2020] el: 0 cg: RN cu: CCU v2: 22 gauge st: NotStopd id: Activity t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Position t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 04/03/2020] 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: [12:00:00 04/03/2020] 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: [12:00:00 04/03/2020] 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: [12:00:00 04/03/2020] 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: [12:00:00 04/03/2020] 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 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: Temp. Site t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 35.7222 n1: 35.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 96.3 n1: 96.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 128 n1: 128 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2.5 vu: ml id: Urine Out Foley t0: [12:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 20 vu: ml
id: Insulin t0: [12:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: TF Residual t0: [12:00:00 04/03/2020] el: 1 ai: 209 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 6.5 vu: ml id: Nepro 10.0str t0: [12:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 30 vu: ml
id: Fentanyl t0: [11:25:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:30:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 65 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:25:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:30:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [12:27:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: CaO2 t0: [12:27:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 11.6551 n1: 11.6551 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [12:27:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:27:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 20 n1: 20 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:27:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:27:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 159 n1: 159 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:27:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.28 n1: 7.28 rs: Final st: NotStopd id: SaO2 t0: [12:27:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: Service Type t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 04/03/2020] 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 04/03/2020] 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 04/03/2020] 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 04/03/2020] 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 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [13:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 111 n1: 111 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.75 vu: ml id: Urine Out Foley t0: [13:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 18 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 6.5 vu: ml id: Nepro 10.0str t0: [13:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml
id: Fentanyl t0: [13:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [13:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: HOB t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Arterial BP t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 04/03/2020] 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 04/03/2020] 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 04/03/2020] 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 04/03/2020] 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 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Skin Care t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Back Care t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 97 n1: 97 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.75 vu: ml id: Urine Out Foley t0: [14:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 16 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 6.5 vu: ml id: Nepro 10.0str t0: [14:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vo: 20 vu: ml
id: Fentanyl t0: [14:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [14:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: CVP t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 04/03/2020] 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: [15:00:00 04/03/2020] 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: [15:00:00 04/03/2020] 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: [15:00:00 04/03/2020] 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: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [15:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 147 n1: 147 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.75 vu: ml id: Urine Out Foley t0: [15:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 11 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 6.5 vu: ml
id: Fentanyl t0: [15:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [15:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: Less Restrict Meas. t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 04/03/2020] el: 1 cg: RN cu: CCU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: Family Communication t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GCS Total t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: HOB t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 04/03/2020] 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 04/03/2020] el: 0 cg: RN cu: CCU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 04/03/2020] 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 04/03/2020] el: 0 cg: RN cu: CCU v2: 22 gauge st: NotStopd id: Activity t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity Tolerance t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLL Lung Sounds t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 04/03/2020] 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: [16:00:00 04/03/2020] 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: [16:00:00 04/03/2020] 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: [16:00:00 04/03/2020] 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: [16:00:00 04/03/2020] 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 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: Support Systems t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [16:00:00 04/03/2020] 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 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Comp. Limited st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2 vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.75 vu: ml id: Urine Out Foley t0: [16:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 6.5 vu: ml id: Nepro 10.0str t0: [15:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CCU vu: ml st: Stopped
id: Fentanyl t0: [16:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Tube Feeds In Total t0: [23:00:00 04/03/2020] el: 2 cg: RN cu: -1 cv: 290 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 32.1429 n1: 32.1429 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 1:1.4 st: NotStopd id: Airway Size t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 12.9 n1: 12.9 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 1600 n1: 1600 st: NotStopd id: Ve High t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 459 n1: 459 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 04/03/2020] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [16:00:00 04/03/2020] el: 0 cg: CoWker cu: CCU v1: 147 n1: 147 rs: Manual st: NotStopd
id: Service Type t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 04/03/2020] 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 04/03/2020] 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 04/03/2020] 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 04/03/2020] 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 04/03/2020] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [17:00:00 04/03/2020] el: 0 cg: RN cu: CCU v1: 145 n1: 145 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CCU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CCU vo: 6.75 vu: ml id: Urine Out Foley t0: [17:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 14 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CCU vo: 6.5 vu: ml
id: Fentanyl t0: [17:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 04/03/2020] el: 2 cg: RN cu: -1 cv: 1528.8 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 04/03/2020] el: 2 cg: RN cu: -1 cv: 1818.8 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 04/03/2020] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 04/03/2020] el: 2 cg: RN cu: -1 cv: 314 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 04/03/2020] el: 2 cg: RN cu: -1 cv: 1504.8 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 04/03/2020] el: 2 cg: RN cu: -1 cv: 1625.67 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 04/03/2020] el: 2 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 04/03/2020] el: 2 cg: RN cu: -1 cv: 314 ac: 24 ap: none re: 0
id: Art.pH t0: [17:14:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: CaO2 t0: [17:14:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 11.7721 n1: 11.7721 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [17:14:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:14:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:14:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:14:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 160 n1: 160 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:14:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: SaO2 t0: [17:14:00 04/03/2020] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 u1: % rs: Final st: NotStopd
id: Insulin t0: [16:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [17:00:00 04/03/2020] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
ci: 36664 t0: 15:54:00 cu: CCU de: CSRU dt: 5272
id: Compliance (40-60ml) t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 1:1.4 st: NotStopd id: Airway Size t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 13.5 n1: 13.5 u1: L/min st: NotStopd id: PEEP Set t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [17:30:00 04/03/2020] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [17:45:00 04/03/2020] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#2 Type/Site t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: RL Post Forearm v2: 22 gauge st: NotStopd id: Activity t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Droplet st: NotStopd id: INV#2 Dsg Change t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [17:45:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: Fentanyl t0: [17:45:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:45:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [17:45:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 6.75 vu: ml id: Urine Out Foley t0: [18:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml
id: Fentanyl t0: [18:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [18:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [18:41:00 04/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: Arterial Base Excess t0: [18:41:00 04/03/2020] el: 0 cg: 3161 cu: CSRU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:41:00 04/03/2020] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:41:00 04/03/2020] el: 0 cg: 3161 cu: CSRU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:41:00 04/03/2020] el: 0 cg: 3161 cu: CSRU v1: 126 n1: 126 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:41:00 04/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.27 n1: 7.27 rs: Final st: NotStopd
id: CaO2 t0: [18:41:00 04/03/2020] el: 0 cg: 3161 cu: CSRU v1: 11.6667 n1: 11.6667 u1: ml/dl st: NotStopd id: SaO2 t0: [18:41:00 04/03/2020] el: 0 cg: 3161 cu: CSRU v1: 99 n1: 99 u1: % rs: Final st: NotStopd
id: Service Type t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [19:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 6.75 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml
id: Fentanyl t0: [19:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [19:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Circulation/SkinInt t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Redness st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: RL Post Forearm v2: 22 gauge st: NotStopd id: Activity t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Pain Location t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: RLL Lung Sounds t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Sputum Source/Amt t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: None st: NotStopd id: Support Systems t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Therapeutic Bed t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Behavior t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 6.75 vu: ml id: Urine Out Foley t0: [20:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [20:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vu: ml st: Restart
id: Service Type t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [20:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 4387334 hi: 10078 t0: [21:00:00 04/03/2020] tf: [02:00:00 05/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 150 mEq Sodium Bicarbonate/ 1000 ml D5W Continuous at 200 ml/hr for 1000 ml ir: 200 it: C ss: N dt: 5 di: Hours xu: Enter on Label
id: Compliance (40-60ml) t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 34.6154 n1: 34.6154 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 1:1.5 st: NotStopd id: Airway Size t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 13.4 n1: 13.4 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 2300 n1: 2300 st: NotStopd id: Tank B psi. t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 477 n1: 477 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [21:00:00 04/03/2020] el: 0 cg: CoWker cu: CSRU v1: 152 n1: 152 rs: Manual st: NotStopd
id: Sodium Bicarbonate io: D5W 1000.0ml el: 100 cg: RN cu: CSRU am: 150 du: mEq rt: Intravenous Push
io: D5W 1000.0ml el: 1 cg: RN cu: CSRU ra: 200 ru: ml/hr
id: Service Type t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: calprevflg t0: [21:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [21:00:00 04/03/2020] el: 1 ai: 106 cg: RN cu: CSRU vu: ml nb: 1 id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 6.75 vu: ml id: Urine Out Foley t0: [21:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [21:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 20 vu: ml
id: Fentanyl t0: [21:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [21:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [22:00:00 04/03/2020] el: 1 ai: 106 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 6.75 vu: ml id: Urine Out Foley t0: [22:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [22:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 20 vu: ml
id: Fentanyl t0: [22:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [22:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [23:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [23:00:00 04/03/2020] el: 1 ai: 106 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 04/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 04/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 6.75 vu: ml id: Urine Out Foley t0: [23:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 04/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [23:00:00 04/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 20 vu: ml
id: Fentanyl t0: [23:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [23:00:00 04/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 04/03/2020] el: 3 cg: RN cu: CSRU pv: 217.25 cv: 2024.3 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 04/03/2020] el: 3 cg: RN cu: CSRU pv: 237.25 cv: 2374.3 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 04/03/2020] el: 3 cg: RN cu: CSRU pv: 40 cv: 40 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 04/03/2020] el: 3 cg: RN cu: CSRU pv: 20 cv: 350 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 04/03/2020] el: 3 cg: RN cu: CSRU pv: 40 cv: 454 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 04/03/2020] el: 3 cg: RN cu: CSRU pv: 197.25 cv: 1920.3 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 04/03/2020] el: 3 cg: RN cu: CSRU pv: 197.25 cv: 2041.17 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 04/03/2020] el: 3 cg: RN cu: CSRU pv: 197.25 cv: 197.25 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 04/03/2020] el: 3 cg: RN cu: CSRU pv: 40 cv: 454 ac: 24 ap: none re: 0
id: Eye Care t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Position t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Compliance (40-60ml) t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 34.6154 n1: 34.6154 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 1:1.5 st: NotStopd id: Airway Size t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 13.1 n1: 13.1 u1: L/min st: NotStopd id: PEEP Set t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 2300 n1: 2300 st: NotStopd id: Tank B psi. t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 540 n1: 540 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [23:30:00 04/03/2020] el: 0 cg: MS cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Heart Rate t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Redness st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: Abdominal Assessment t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 v2: 31 n2: 31 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: RL Post Forearm v2: 22 gauge st: NotStopd id: IV Site Appear #1 t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: LLL Lung Sounds t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: Precautions t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Droplet st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 36.0556 n1: 36.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 96.9 n1: 96.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 04/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Gastric Meds t0: [00:00:00 05/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 40 vu: ml id: D5W 1000.0ml t0: [00:00:00 05/03/2020] el: 1 ai: 106 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 6.75 vu: ml id: Urine Out Foley t0: [00:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [00:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 20 vu: ml
id: Fentanyl t0: [00:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: TF Residual t0: [00:00:00 05/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 5 vu: ml
id: Insulin t0: [00:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Droplet st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [01:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 1000.0ml t0: [01:00:00 05/03/2020] el: 1 ai: 106 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 6.75 vu: ml id: Urine Out Foley t0: [01:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml
id: Fentanyl t0: [01:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 67.5 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 6.75 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [01:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: Nepro 10.0str t0: [02:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml
id: Insulin t0: [01:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [02:00:00 05/03/2020] el: 0 cg: CoWker cu: CSRU v1: 220 n1: 220 rs: Manual st: NotStopd
id: Service Type t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [02:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Midazolam t0: [02:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [02:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fentanyl t0: [02:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 70 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Precautions t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd
id: Service Type t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [03:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 6.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 7 vu: ml id: Urine Out Foley t0: [03:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [03:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml
id: Midazolam t0: [03:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [03:13:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.29 n1: 7.29 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:13:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: -4 n1: -4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:13:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:13:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:13:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:13:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.29 n1: 7.29 rs: Final st: NotStopd
id: Fentanyl t0: [03:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Insulin t0: [03:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 13 n1: 13 rs: Final st: NotStopd id: WBC t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 13 n1: 13 rs: Final st: NotStopd id: Hematocrit t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 26.6 n1: 26.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.5 n1: 8.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 350 n1: 350 rs: Final st: NotStopd id: RBC t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.31 n1: 3.31 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 13 n1: 13 rs: Final st: NotStopd
id: BUN t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 133 n1: 133 rs: Final st: NotStopd id: Calcium t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd id: Glucose t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: Magnesium t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Phosphorous t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd id: BUN (6-20) t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 133 n1: 133 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:01:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd
id: IV #1 Reason DC'D t0: [04:00:00 05/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 D/C Date t0: [04:00:00 05/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 Insert Date t0: [04:00:00 05/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 Site/Size t0: [04:00:00 05/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #1 t0: [04:00:00 05/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Fingerstick Glucose t0: [04:00:00 05/03/2020] el: 0 cg: CoWker cu: CSRU v1: 157 n1: 157 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Compliance (40-60ml) t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 34.6154 n1: 34.6154 u1: ml/cmH st: NotStopd id: Riker-SAS Scale t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 05/03/2020] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: ETT Mark/Location t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 27cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: GCS Total t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: High Insp. Pressure t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 1:1.5 st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Redness st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Redness st: NotStopd id: Abdominal Assessment t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Airway Size t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: LLL Lung Sounds t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 13.3 n1: 13.3 u1: L/min st: NotStopd id: Motor Response t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: PEEP Set t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 st: NotStopd id: Arterial BP t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Position t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Pattern t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 2300 n1: 2300 st: NotStopd id: Tank B psi. t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 20 n1: 20 st: NotStopd id: Restraint Location t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Sensitivity-Vent t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Side Rails t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 513 n1: 513 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Turn t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Cloudy st: NotStopd id: Urine Source t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Mode t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Waveform-Vent t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: RAMP st: NotStopd id: calprevflg t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [02:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [04:00:00 05/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 5 vu: ml id: D5W 1000.0ml t0: [02:00:00 05/03/2020] el: 1 ai: 106 cg: RN cu: CSRU vo: 200 vu: ml st: Stopped id: D5W 1000.0ml t0: [03:00:00 05/03/2020] el: 1 ai: 106 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [04:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml
id: Fentanyl t0: [04:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [04:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: RSBI Not Completed t0: [04:00:00 05/03/2020] el: 0 cg: MS cu: CSRU v1: PEEP >10 st: NotStopd
id: Service Type t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [05:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [05:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 9 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [06:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 13 vu: ml id: Nepro 10.0str t0: [06:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 60 vu: ml
id: Fentanyl t0: [06:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [06:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 rs: Manual st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [07:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [07:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [07:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 4388563 hi: 10078 t0: [08:00:00 05/03/2020] tf: [07:00:00 06/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml LR Bolus 200 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Less Restrict Meas. t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Arterial BP t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Previous Weight t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Significant Events t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: Skin Care t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: BSA - English t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1.47961 n1: 1.47961 u1: m2 st: NotStopd id: BSA - Metric t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1.7221 n1: 1.7221 u1: m2 st: NotStopd id: Verbal Response t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Weight Change t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Daily Weight t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 rs: Manual st: NotStopd id: Bowel Sounds t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Lactated Ringers t0: [07:00:00 05/03/2020] el: 1 ai: 106 cg: RN cu: CSRU vo: 1000 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2.5 vu: ml id: Urine Out Foley t0: [07:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 65 vu: ml
id: Fentanyl t0: [08:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [08:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 32.1429 n1: 32.1429 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 12.8 n1: 12.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 2500 n1: 2500 st: NotStopd id: Tank B psi. t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 471 n1: 471 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [08:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: Urine Out Foley t0: [09:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 26 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [08:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro 10.0str t0: [09:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [09:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [09:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Service Type t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: Family Communication t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: HOB t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Activity t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 05/03/2020] 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 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Rate t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [09:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: calprevflg t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Gastric Meds t0: [08:00:00 05/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [10:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [10:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [10:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 rs: Manual st: NotStopd
pi: 4389216 hi: 10078 t0: [20:00:00 05/03/2020] tf: [16:00:00 05/03/2020] mn: Tacrolimus pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4389217 hi: 10078 t0: [20:00:00 05/03/2020] tf: [12:00:00 28/03/2020] mn: Docusate Sodium (Liquid) pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 rs: Manual st: NotStopd
id: Gastric Meds t0: [11:00:00 05/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 55 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [11:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [11:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [11:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: GI Prophylaxis t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Education Barrier t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [10:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Coping st: NotStopd id: Eye Opening t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: GCS Total t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Abdominal Assessment t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: RLL Lung Sounds t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Urine Color/Appear t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [11:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: Compliance (40-60ml) t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 37.5 n1: 37.5 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 16.2 n1: 16.2 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 451 n1: 451 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Service Type t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Cough/Deep Breathe t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Risk for Falls t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: Education Topic #1 t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: HOB t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Reason For Restraint t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Rate t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Support Systems t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Back Care t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Braden Activity t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [12:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 47 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [12:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [12:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [12:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 4389443 hi: 10078 t0: [13:00:00 05/03/2020] tf: [00:00:00 21/03/2020] mn: Heparin Flush CVL (100 units/ml) pt: Unit Dose st: Discontinued rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: ETT Position Change t0: [13:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Done st: NotStopd id: Ectopy Frequency t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: FiO2 Set t0: [13:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Size t0: [13:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [13:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [13:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Arterial BP t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 05/03/2020] 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: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: Previous WeightF t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 05/03/2020] 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 05/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Ventilator Type t0: [13:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [14:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 55 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [13:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro 10.0str t0: [14:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [13:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [13:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [14:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Level/Response t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 3-Mild to Mod st: NotStopd id: Pain Present t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pain Present t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [13:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: GCS Total t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Pain Cause t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Situational st: NotStopd id: Pain Location t0: [12:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Neck st: NotStopd id: Pain Location t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [12:00:00 05/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Arterial BP Mean t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Therapeutic Bed t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [14:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 rs: Manual st: NotStopd id: Bowel Sounds t0: [15:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [15:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [15:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [15:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [14:54:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:54:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: -3 n1: -3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:54:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:54:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:54:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:54:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 rs: Final st: NotStopd
id: BUN t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 130 n1: 130 rs: Final st: NotStopd id: Calcium t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd id: Glucose t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 91 n1: 91 rs: Final st: NotStopd id: Magnesium t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Phosphorous t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd id: BUN (6-20) t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 130 n1: 130 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd id: Glucose (70-105) t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 91 n1: 91 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [14:42:00 05/03/2020] el: 0 cg: 3161 cu: CSRU v1: 137 n1: 137 rs: Final st: NotStopd
pi: 4390140 hi: 10078 t0: [22:00:00 05/03/2020] tf: [17:00:00 09/03/2020] mn: Tacrolimus pt: Unit Dose st: Discontinued rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4390141 hi: 10078 t0: [08:00:00 05/03/2020] tf: [17:00:00 09/03/2020] mn: Tacrolimus pt: Unit Dose st: Discontinued rt: PO fr: QAM ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: calprevflg t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [16:00:00 05/03/2020] el: 0 cg: PCT cu: CSRU v1: 124 n1: 124 rs: Manual st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 05/03/2020] el: 1 ai: 112 cg: PCT cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 05/03/2020] el: 1 cg: PCT cu: CSRU vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 05/03/2020] el: 1 ai: 338 cg: PCT cu: CSRU vo: 6.5 vu: ml id: Nepro 10.0str t0: [16:00:00 05/03/2020] el: 1 ai: 168 cg: PCT cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [16:00:00 05/03/2020] el: 1 cg: PCT cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 05/03/2020] el: 1 cg: PCT cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [16:00:00 05/03/2020] el: 1 cg: PCT cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 05/03/2020] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 05/03/2020] el: 3 cg: RN cu: CSRU pv: 45 cv: 965 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 05/03/2020] el: 3 cg: RN cu: CSRU cv: 1198 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 05/03/2020] el: 3 cg: RN cu: CSRU cv: 1198 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Circulation/SkinInt t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Alarms t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: Education Topic #1 t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Pain Location t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position Change t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Restraint Location t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Sputum Color/Consist t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Pt./Family Informed t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Braden Activity t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Gastric Meds t0: [16:00:00 05/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3 vu: ml
id: IV Infusion In Total t0: [23:00:00 05/03/2020] el: 3 cg: RN cu: CSRU pv: 23.5 cv: 2085 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 05/03/2020] el: 3 cg: RN cu: CSRU pv: 68.5 cv: 3350 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 05/03/2020] el: 3 cg: RN cu: CSRU cv: 300 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 05/03/2020] el: 3 cg: RN cu: CSRU pv: 68.5 cv: 2152 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 05/03/2020] el: 3 cg: RN cu: CSRU pv: 68.5 cv: 4193.17 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 05/03/2020] el: 3 cg: RN cu: CSRU pv: 68.5 cv: 68.5 ac: 1 ap: none re: 0
id: Radiologic Study t0: [16:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd
id: Compliance (40-60ml) t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 37.5 n1: 37.5 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 14.3 n1: 14.3 u1: L/min st: NotStopd id: PEEP Set t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 482 n1: 482 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [17:00:00 05/03/2020] el: 0 cg: 7041 cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Arterial BP t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Therapeutic Bed t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml id: Nepro 10.0str t0: [17:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [17:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [17:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#2 Type/Site t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: Arterial BP t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: INV#2 Cap Change t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [17:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: calprevflg t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml id: Nepro 10.0str t0: [18:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [18:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [18:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 4390763 hi: 10078 t0: [19:00:00 05/03/2020] tf: [20:00:00 05/03/2020] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 150 mEq Sodium Bicarbonate/ 1000 ml D5W Continuous at 500 ml/hr for 500 ml ir: 500 it: C ss: N dt: 1 di: Hours xu: Enter on Label
id: Less Restrict Meas. t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Service Type t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Heart Rate t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Rate t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: calprevflg t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [19:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 rs: Manual st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [19:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml id: Nepro 10.0str t0: [19:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [19:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: SpO2 t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd
id: Compliance (40-60ml) t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 37.5 n1: 37.5 u1: ml/cmH st: NotStopd id: High Insp. Pressure t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 13.9 n1: 13.9 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: I:E Ratio t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 1:1.5 st: NotStopd id: Tank A psi. t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: 2400 n1: 2400 st: NotStopd
id: Pain Present t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GI Intub #1/Site t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Oral Cavity t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Arterial BP Mean t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Sputum Color/Consist t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 05/03/2020] el: 0 cg: RRt cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Temp. Site t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Urine Source t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml id: Nepro 10.0str t0: [20:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [20:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Circulation/SkinInt t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: Education Topic #1 t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Position t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Reason For Restraint t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Restraint Location t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Therapeutic Bed t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: In-Line Sx Change t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Behavior t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Braden Activity t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Urine Out Foley t0: [20:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: Fingerstick Glucose t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 rs: Manual st: NotStopd
id: Service Type t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Arterial BP t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [20:30:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:30:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:30:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [19:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [20:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [20:30:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Ectopy Frequency t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: FiO2 Set t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Urine Color/Appear t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: calprevflg t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml id: Nepro 10.0str t0: [21:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [21:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 172 n1: 172 rs: Manual st: NotStopd
id: Insulin t0: [21:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Gastric Meds t0: [20:00:00 05/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 60 vu: ml
id: Lactated Ringers t0: [22:00:00 05/03/2020] el: 1 ai: 106 cg: -1 cu: CSRU vo: 0 st: D/C'd id: D5W 1000.0ml t0: [22:00:00 05/03/2020] el: 1 ai: 106 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [21:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Arterial BP t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Precautions t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: In-Line Sx Change t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: calprevflg t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 173 n1: 173 rs: Manual st: NotStopd
id: Gastric Meds t0: [22:00:00 05/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml id: Nepro 10.0str t0: [22:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [22:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [22:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Circulation/SkinInt t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Pain Management t0: [20:00:00 05/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position Change t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Restraint Location t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [22:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: TF Residual t0: [20:00:00 05/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml
id: GCS Total t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: Motor Response t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Pain Cause t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Situational st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 126 n1: 126 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [00:00:00 06/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Arterial BP Mean t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Previous Weight t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 06/03/2020] 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: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: Previous WeightF t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Side Rails t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 05/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 05/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 05/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 05/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml id: Nepro 10.0str t0: [00:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro 10.0str t0: [23:00:00 05/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [23:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [00:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [23:00:00 05/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Riker-SAS Scale t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd
id: Midazolam t0: [00:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fentanyl t0: [00:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 34.6154 n1: 34.6154 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 1:1.5 st: NotStopd id: Airway Size t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 13.1 n1: 13.1 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 515 n1: 515 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 06/03/2020] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Arterial BP t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [01:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 126 n1: 126 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 06/03/2020] el: 1 ai: 109 cg: CoWker cu: CSRU vo: 5.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 06/03/2020] el: 1 ai: 112 cg: CoWker cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [01:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 06/03/2020] el: 1 ai: 338 cg: CoWker cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [01:00:00 06/03/2020] el: 1 ai: 168 cg: CoWker cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [01:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [01:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 5.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: bath t0: [01:30:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Done id: HOB t0: [01:30:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [01:30:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:30:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Tolerated Well st: NotStopd id: Position t0: [01:30:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [01:30:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [01:30:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [01:30:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:30:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [01:30:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Done st: NotStopd
id: Heart Rhythm t0: [01:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Oral Care t0: [01:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Sputum Color/Consist t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Service Type t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [02:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [02:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml nb: 1
id: Fentanyl t0: [02:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [02:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 110 n1: 110 rs: Manual st: NotStopd
id: Insulin t0: [02:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [03:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 108 n1: 108 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 06/03/2020] el: 1 ai: 109 cg: CoWker cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 06/03/2020] el: 1 ai: 112 cg: CoWker cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [03:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 06/03/2020] el: 1 ai: 338 cg: CoWker cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [03:00:00 06/03/2020] el: 1 ai: 168 cg: CoWker cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [03:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [03:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [04:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 108 n1: 108 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 06/03/2020] el: 1 ai: 109 cg: CoWker cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 06/03/2020] el: 1 ai: 112 cg: CoWker cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [04:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 06/03/2020] el: 1 ai: 338 cg: CoWker cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [04:00:00 06/03/2020] el: 1 ai: 168 cg: CoWker cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [04:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [04:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Alarms t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: HOB t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Oral Care t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Skin Care t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#2 Cap Change t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Therapeutic Bed t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Back Care t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: WBC (4-11,000) t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 11.1 n1: 11.1 rs: Final st: NotStopd id: WBC t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 11.1 n1: 11.1 rs: Final st: NotStopd id: Hematocrit t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 25.5 n1: 25.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.5 n1: 8.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 312 n1: 312 rs: Final st: NotStopd id: RBC t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.24 n1: 3.24 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 11.1 n1: 11.1 rs: Final st: NotStopd
id: BUN t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd id: Calcium t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.2 n1: 7.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.8 n1: 5.8 rs: Final st: NotStopd id: Glucose t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 94 n1: 94 rs: Final st: NotStopd id: Magnesium t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Phosphorous t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 6.7 n1: 6.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd id: BUN (6-20) t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.2 n1: 7.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.8 n1: 5.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 94 n1: 94 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 6.7 n1: 6.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:28:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 34.6154 n1: 34.6154 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 1:1.5 st: NotStopd id: Airway Size t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 13.2 n1: 13.2 u1: L/min st: NotStopd id: PEEP Set t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 445 n1: 445 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [05:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 06/03/2020] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 06/03/2020] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Heart Rate t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Abdominal Assessment t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [04:00:00 06/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Pain Type t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [05:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [05:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [05:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [05:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [05:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Spon RR (Mech.) t0: [06:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [06:00:00 06/03/2020] el: 0 cg: RRt cu: CSRU v1: 0.25 n1: 0.25 u1: L st: NotStopd
id: Service Type t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 111 n1: 111 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 06/03/2020] el: 1 ai: 109 cg: CoWker cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 06/03/2020] el: 1 ai: 112 cg: CoWker cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [06:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 06/03/2020] el: 1 ai: 338 cg: CoWker cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [06:00:00 06/03/2020] el: 1 ai: 168 cg: CoWker cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [06:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Insulin t0: [06:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Circulation/SkinInt t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: Education Topic #1 t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Position Change t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Restraint Location t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [02:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Pt./Family Informed t0: [06:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Service Type t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 06/03/2020] 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 06/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [07:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [07:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [07:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Insulin t0: [07:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 32.1429 n1: 32.1429 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8 n1: 8 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 11.7 n1: 11.7 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 486 n1: 486 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [08:00:00 06/03/2020] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [08:00:00 06/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Verbal Response t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 rs: Manual st: NotStopd id: Bowel Sounds t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Gastric Meds t0: [08:00:00 06/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: GT Flush t0: [08:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [08:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [08:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [08:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [08:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: CVP t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: Previous WeightF t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [10:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 185 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [09:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro 10.0str t0: [10:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [09:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [10:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [09:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [10:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: D5W 100.0ml t0: [10:00:00 06/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Fingerstick Glucose t0: [10:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 106 n1: 106 rs: Manual st: NotStopd
pi: 4392916 hi: 10078 t0: [14:00:00 06/03/2020] tf: [15:00:00 06/03/2020] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [11:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [11:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [11:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [11:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 14.5 n1: 14.5 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 1 n1: 1 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: Drager st: NotStopd
id: PEEP Set t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd
id: Art.pH t0: [12:01:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: Arterial Base Excess t0: [12:01:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:01:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:01:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 53 n1: 53 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:01:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 68 n1: 68 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:01:00 06/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.27 n1: 7.27 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 06/03/2020] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: GCS Total t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [12:00:00 06/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [12:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 23 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [12:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [12:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 06/03/2020] el: 3 cg: RN cu: CSRU pv: 26.5 cv: 696 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 06/03/2020] el: 3 cg: RN cu: CSRU pv: 60 cv: 60 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 06/03/2020] el: 3 cg: RN cu: CSRU pv: 45 cv: 1080 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 06/03/2020] el: 3 cg: RN cu: CSRU pv: 60 cv: 1483 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 06/03/2020] el: 3 cg: RN cu: CSRU pv: 60 cv: 1483 ac: 24 ap: carryForward re: 0
id: Compliance (40-60ml) t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 28.125 n1: 28.125 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 17.2 n1: 17.2 u1: L/min st: NotStopd id: Apnea Time Interval t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Pressure Support t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 586 n1: 586 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: RAMP st: NotStopd
id: Gastric Meds t0: [12:00:00 06/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 30 vu: ml
id: 24h Total In t0: [23:00:00 06/03/2020] el: 3 cg: RN cu: CSRU pv: 71.5 cv: 2046 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 06/03/2020] el: 3 cg: RN cu: CSRU cv: 270 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 06/03/2020] el: 3 cg: RN cu: CSRU pv: 11.5 cv: 563 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 06/03/2020] el: 3 cg: RN cu: CSRU pv: 11.5 cv: 4756.17 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 06/03/2020] el: 3 cg: RN cu: CSRU pv: 11.5 cv: 11.5 ac: 1 ap: none re: 0
id: Fingerstick Glucose t0: [13:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 140 n1: 140 rs: Manual st: NotStopd
id: Urine Out Foley t0: [13:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 50 vu: ml
id: Fingerstick Glucose t0: [14:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd
id: Urine Out Foley t0: [14:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 60 vu: ml
id: Service Type t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 06/03/2020] 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: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: Previous WeightF t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [13:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro 10.0str t0: [14:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [13:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [15:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [15:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4393744 hi: 10078 t0: [20:00:00 06/03/2020] tf: [12:00:00 08/03/2020] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 06/03/2020] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 4 mm st: NotStopd id: GI#1 Intub Site t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: GCS Total t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [16:00:00 06/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Support Systems t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 rs: Manual st: NotStopd id: Bowel Sounds t0: [16:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [16:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 180 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [15:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro 10.0str t0: [16:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [16:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [17:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [17:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Gastric Meds t0: [16:00:00 06/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [17:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [17:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [17:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 30 n1: 30 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 16.2 n1: 16.2 u1: L/min st: NotStopd id: PEEP Set t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 381 n1: 381 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [18:00:00 06/03/2020] el: 0 cg: 7041 cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Service Type t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Rate t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Sputum Color/Consist t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [18:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [18:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [18:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [18:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [18:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [19:00:00 06/03/2020] el: 0 cg: CoWker cu: CSRU v1: 141 n1: 141 rs: Manual st: NotStopd
id: Urine Out Foley t0: [19:00:00 06/03/2020] el: 1 cg: CoWker cu: CSRU vo: 40 vu: ml
id: Insulin t0: [11:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [12:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [13:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [14:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [15:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [16:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [17:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [19:30:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:30:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [19:30:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:30:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:30:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:30:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:30:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:30:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [19:30:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:30:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [19:30:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:30:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:30:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [19:30:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:30:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:30:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [19:30:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [19:30:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [19:30:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:30:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [19:30:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 37.5 n1: 37.5 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 1:1.5 st: NotStopd id: Airway Size t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 7 n1: 7 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 13.2 n1: 13.2 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 2300 n1: 2300 st: NotStopd id: Tank B psi. t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 1300 n1: 1300 st: NotStopd id: Ve High t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 498 n1: 498 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 06/03/2020] el: 0 cg: 4312 cu: CSRU v1: RAMP st: NotStopd
id: Cough/Deep Breathe t0: [21:00:00 06/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI Guaiac/ph t0: [21:00:00 06/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: Incentive Spirometry t0: [21:00:00 06/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: O2 Delivery Device t0: [21:00:00 06/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: O2 Flow (lpm) t0: [21:00:00 06/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: NBP Alarm (Lo/Hi) t0: [21:00:00 06/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Po Intake t0: [21:00:00 06/03/2020] el: 1 ai: 103 cg: -1 cu: CSRU vo: 0 st: D/C'd id: Pre-Admission Intake t0: [21:00:00 06/03/2020] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd id: Pre-Admission Output Pre-Admission Output t0: [21:00:00 06/03/2020] el: 1 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: bath t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done id: Pain Assess Method t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: CVP t0: [21:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 06/03/2020] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Barrier t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [21:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Management t0: [20:00:00 06/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Arterial BP Mean t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Previous Weight t0: [21:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 06/03/2020] 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: [21:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: Previous WeightF t0: [21:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [21:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Stool Color/Consist t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Green v2: Loose st: NotStopd id: Support Systems t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 3 n2: 3 st: NotStopd id: Temp. Site t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Verbal Response t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd id: Pt./Family Informed t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 rs: Manual st: NotStopd id: Bowel Sounds t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [20:00:00 06/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 5 vu: ml id: Gastric Meds t0: [20:00:00 06/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 8 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4 vu: ml id: GT Flush t0: [20:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Stool Out Stool t0: [20:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vu: ml es: Large id: Urine Out Foley t0: [20:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [20:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 90 vu: ml id: Nepro 10.0str t0: [21:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [20:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [20:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [21:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 06/03/2020] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
pi: 4395245 hi: 10078 t0: [23:00:00 06/03/2020] tf: [11:00:00 11/03/2020] mn: Insulin pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label pi: 4395246 hi: 10078 t0: [23:00:00 06/03/2020] tf: [17:00:00 17/03/2020] mn: Fentanyl Citrate pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label pi: 4395247 hi: 10078 t0: [23:00:00 06/03/2020] tf: [22:00:00 09/03/2020] mn: Midazolam HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Service Type t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 06/03/2020] 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: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Restraint Location t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 rs: Manual st: NotStopd
id: Gastric Meds t0: [22:00:00 06/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4 vu: ml id: GT Flush t0: [22:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [22:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [22:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [22:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [22:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [23:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 06/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 06/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [23:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 06/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [23:00:00 06/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [23:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [23:00:00 06/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 28.125 n1: 28.125 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 1.5 n1: 1.5 st: NotStopd id: Airway Size t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 13.6 n1: 13.6 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 444 n1: 444 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 07/03/2020] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: ETT Position Change t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Ectopy Frequency t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [00:00:00 07/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Arterial BP Mean t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Position t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Stool Color/Consist t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Green v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Verbal Response t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Insulin Guideline t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [00:00:00 07/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 70 vu: ml id: Gastric Meds t0: [00:00:00 07/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4 vu: ml id: GT Flush t0: [00:00:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [00:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [00:00:00 07/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [00:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [00:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [01:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [01:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [01:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [01:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [01:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [01:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [01:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [01:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 07/03/2020] 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: [01:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: Previous WeightF t0: [01:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 06/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [01:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [01:00:00 07/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [01:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [01:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [01:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [01:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [01:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Service Type t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Arterial BP t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Restraint Location t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [02:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [02:00:00 07/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [02:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [02:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Arterial BP t0: [03:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [03:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [03:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [03:00:00 07/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [03:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [03:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [03:23:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:23:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: -4 n1: -4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:23:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:23:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 44 n1: 44 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:23:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:23:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: WBC t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd id: Hematocrit t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 326 n1: 326 rs: Final st: NotStopd id: RBC t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.11 n1: 3.11 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 12 n1: 12 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 37.5 n1: 37.5 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 1:1.5 st: NotStopd id: Airway Size t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 7 n1: 7 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 14 n1: 14 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 1300 n1: 1300 st: NotStopd id: Tank B psi. t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 2300 n1: 2300 st: NotStopd id: Ve High t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: RAMP st: NotStopd
id: Previous Weight t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: 0.8 n1: 0.8 u1: L st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 07/03/2020] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [04:00:00 07/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Arterial BP Mean t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: PressureReduceDevice t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [03:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: RLL Lung Sounds t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Color/Consist t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Green v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Verbal Response t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Insulin Guideline t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 rs: Manual st: NotStopd id: Bowel Sounds t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [04:00:00 07/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [04:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [04:00:00 07/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [04:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [04:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: BUN t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd id: Calcium t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.4 n1: 5.4 rs: Final st: NotStopd id: Glucose t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd id: Magnesium t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Phosphorous t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.3 n1: 7.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.4 n1: 5.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 113 n1: 113 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:04:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd
id: Sputum Color/Consist t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 07/03/2020] el: 0 cg: RRt cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: Service Type t0: [05:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 07/03/2020] 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 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [05:00:00 07/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [05:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [05:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Radiologic Study t0: [05:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd
pi: 4395995 hi: 10078 t0: [07:00:00 07/03/2020] tf: [06:00:00 08/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml LR Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Less Restrict Meas. t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Service Type t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Arterial BP t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 07/03/2020] 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 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 07/03/2020] 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 07/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Rate t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [06:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [06:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [06:00:00 07/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [06:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [06:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [06:30:00 07/03/2020] el: 0 cg: Rn cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:30:00 07/03/2020] el: 0 cg: Rn cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [06:30:00 07/03/2020] el: 0 cg: Rn cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:30:00 07/03/2020] el: 0 cg: Rn cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [06:30:00 07/03/2020] el: 0 cg: Rn cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: NBP Mean t0: [06:30:00 07/03/2020] el: 0 cg: Rn cu: CSRU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Arterial BP t0: [06:30:00 07/03/2020] el: 0 cg: Rn cu: CSRU v1: 75 n1: 75 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:30:00 07/03/2020] el: 0 cg: Rn cu: CSRU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Precautions t0: [06:30:00 07/03/2020] el: 0 cg: Rn cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:30:00 07/03/2020] 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: [06:30:00 07/03/2020] el: 0 cg: Rn cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:30:00 07/03/2020] el: 0 cg: Rn cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:30:00 07/03/2020] el: 0 cg: Rn cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [06:30:00 07/03/2020] el: 0 cg: Rn cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:30:00 07/03/2020] el: 0 cg: Rn cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:30:00 07/03/2020] el: 0 cg: Rn cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [06:30:00 07/03/2020] el: 0 cg: Rn cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:30:00 07/03/2020] el: 0 cg: Rn cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [06:30:00 07/03/2020] el: 1 cg: Rn cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:30:00 07/03/2020] el: 1 cg: Rn cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [06:30:00 07/03/2020] el: 1 cg: Rn cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Ectopy Frequency t0: [06:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rhythm t0: [06:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd
id: D5W 100.0ml t0: [06:30:00 07/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml
id: Service Type t0: [07:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 07/03/2020] 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 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 07/03/2020] 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 07/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [07:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [07:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [07:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Arterial BP t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:30:00 07/03/2020] 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: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [07:30:00 07/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: Gastric Meds t0: [07:30:00 07/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 75 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:30:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 7.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:30:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18.75 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:30:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 15 vu: ml id: Nepro 10.0str t0: [07:30:00 07/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 67.5 vu: ml
id: Fentanyl t0: [07:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [07:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Circulation/SkinInt t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Edema Location/Amt#1 t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GI Intub #1/Site t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Abdominal Assessment t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Oral Cavity t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: RLL Lung Sounds t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Stool Color/Consist t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Green v2: Liquid st: NotStopd id: Stool Guaiac t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Stool Management t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Urine Source t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Behavior t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [07:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Fingerstick Glucose t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 rs: Manual st: NotStopd
pi: 4396139 hi: 10078 t0: [09:00:00 07/03/2020] tf: [08:00:00 08/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml LR Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 6.25 vu: ml id: Urine Out Foley t0: [08:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 28 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro 10.0str t0: [08:00:00 07/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 22.5 vu: ml
id: Fentanyl t0: [08:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [08:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Lactated Ringers t0: [08:00:00 07/03/2020] el: 2 ai: 106 cg: RN cu: CSRU vo: 500 vu: ml nb: 1
id: Eye Care t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: PressureReduceDevice t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Therapeutic Bed t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd
id: Compliance (40-60ml) t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 40.9091 n1: 40.9091 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 1:1.5 st: NotStopd id: Airway Size t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 13.2 n1: 13.2 u1: L/min st: NotStopd id: PEEP Set t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 1100 n1: 1100 st: NotStopd id: Tank B psi. t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 450 n1: 450 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [09:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Risk for Falls t0: [09:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 07/03/2020] 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 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [09:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [09:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lactated Ringers t0: [09:00:00 07/03/2020] el: 2 ai: 106 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [09:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [09:00:00 07/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Midazolam t0: [09:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [09:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fentanyl t0: [09:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
pi: 4396346 hi: 10078 t0: [10:00:00 07/03/2020] tf: [09:00:00 08/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml LR Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: NBP t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lactated Ringers t0: [09:30:00 07/03/2020] el: 2 ai: 106 cg: RN cu: CSRU vo: 5 vu: ml id: Gastric Meds t0: [09:30:00 07/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:30:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:30:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 7.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:30:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 5 vu: ml id: Nepro 10.0str t0: [09:30:00 07/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 22.5 vu: ml
id: Fentanyl t0: [09:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [09:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 07/03/2020] el: 3 cg: RN cu: CSRU cv: 285 ac: 24 ap: none re: 0
id: Service Type t0: [08:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Activity t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: NBP t0: [08:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [08:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [08:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Position t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Significant Events t0: [08:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: Therapeutic Bed t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [08:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [08:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [08:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Alarms t0: [09:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [09:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Service Type t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 07/03/2020] 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 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lactated Ringers t0: [10:00:00 07/03/2020] el: 2 ai: 106 cg: RN cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 7.5 vu: ml id: Urine Out Foley t0: [10:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: Nepro 10.0str t0: [10:00:00 07/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 22.5 vu: ml
id: Fentanyl t0: [10:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [10:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [10:00:00 07/03/2020] el: 0 cg: CoWker cu: CSRU v1: 107 n1: 107 rs: Manual st: NotStopd
id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6 vu: ml nb: 1
id: Service Type t0: [10:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [10:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Arterial BP t0: [10:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Precautions t0: [10:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [10:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd id: Respiratory Rate t0: [09:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [10:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [10:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [10:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [10:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [11:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [11:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [11:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [11:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [11:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP t0: [11:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: NBP Mean t0: [11:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: Arterial BP t0: [11:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [11:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:30:00 07/03/2020] 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 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [11:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [11:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [11:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: calprevflg t0: [11:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lactated Ringers t0: [11:00:00 07/03/2020] el: 2 ai: 106 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Stool Out Stool t0: [11:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vu: ml es: Large id: Urine Out Foley t0: [11:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml id: Nepro 10.0str t0: [11:00:00 07/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [11:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [11:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [11:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [11:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 07/03/2020] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: Less Restrict Meas. t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Circulation/SkinInt t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Diet Type t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Intub Site t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Family Communication t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: GI Intub #1/Site t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Abdominal Assessment t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Level of Conscious t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Oral Cavity t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Position Change t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: RLL Lung Sounds t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Pattern t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Stool Color/Consist t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Green v2: Loose st: NotStopd id: Stool Management t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Urine Color/Appear t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [09:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Pt./Family Informed t0: [10:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Service Type t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: NBP t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: PressureReduceDevice t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 07/03/2020] 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 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Skin Care t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Therapeutic Bed t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Back Care t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 rs: Manual st: NotStopd
id: Fentanyl t0: [12:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [12:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: CVP t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Riker-SAS Scale t0: [11:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Alarms t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [12:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml id: Nepro 10.0str t0: [12:00:00 07/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Total Hourly Output t0: [23:00:00 07/03/2020] el: 3 cg: RN cu: CSRU pv: 30 cv: 30 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 07/03/2020] el: 3 cg: RN cu: CSRU cv: 675 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 07/03/2020] el: 3 cg: RN cu: CSRU pv: 30 cv: 905 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 07/03/2020] el: 3 cg: RN cu: CSRU pv: 30 cv: 905 ac: 24 ap: carryForward re: 0
id: Art.pH t0: [11:49:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.24 n1: 7.24 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:49:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: -6 n1: -6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:49:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:49:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:49:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 122 n1: 122 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:49:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.24 n1: 7.24 rs: Final st: NotStopd
id: Lactic Acid t0: [11:49:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Ionized Calcium t0: [11:49:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 1.15 n1: 1.15 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [11:49:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd
pi: 4396722 hi: 10078 t0: [13:00:00 07/03/2020] tf: [12:00:00 08/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml LR Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Compliance (40-60ml) t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 29.4118 n1: 29.4118 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 1:1.5 st: NotStopd id: Airway Size t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 14.7 n1: 14.7 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Skin Integrity t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Intact st: NotStopd id: Sputum Color/Consist t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: D5W 100.0ml t0: [12:00:00 07/03/2020] el: 1 ai: 105 cg: RRT cu: CSRU vo: 500 vu: ml
id: Service Type t0: [13:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Arterial BP t0: [13:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 07/03/2020] 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 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 07/03/2020] 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 07/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [13:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [13:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml id: Nepro 10.0str t0: [13:00:00 07/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [13:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [13:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: D5W 100.0ml t0: [13:00:00 07/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: Lactated Ringers t0: [12:00:00 07/03/2020] el: 2 ai: 106 cg: RN cu: CSRU vo: 0 vu: ml id: Lactated Ringers t0: [13:00:00 07/03/2020] el: 2 ai: 106 cg: RN cu: CSRU vo: 0 vu: ml
id: Dorsal PedPulse R/L t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Eye Opening t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: Motor Response t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Verbal Response t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Insulin Guideline t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd
pi: 4396868 hi: 10078 t0: [14:00:00 07/03/2020] tf: [13:00:00 08/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml LR Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Art.pH t0: [13:20:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.29 n1: 7.29 rs: Final st: NotStopd id: Arterial Base Excess t0: [13:20:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: -5 n1: -5 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [13:20:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [13:20:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [13:20:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 126 n1: 126 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [13:20:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.29 n1: 7.29 rs: Final st: NotStopd
id: Service Type t0: [13:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [13:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Arterial BP t0: [13:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [13:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:30:00 07/03/2020] 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: [13:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [13:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [13:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [13:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [13:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [14:00:00 07/03/2020] el: 0 cg: CoWker cu: CSRU v1: 97 n1: 97 rs: Manual st: NotStopd
id: Urine Out Foley t0: [14:00:00 07/03/2020] el: 1 cg: CoWker cu: CSRU vo: 50 vu: ml
id: Service Type t0: [14:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [14:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [14:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [14:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 07/03/2020] 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 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Significant Events t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: Significant Events t0: [13:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [14:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [14:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd
id: Lactated Ringers t0: [14:00:00 07/03/2020] el: 2 ai: 106 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml
id: Fentanyl t0: [14:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: TF Residual t0: [14:00:00 07/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 130 vu: ml id: Nepro 10.0str t0: [14:00:00 07/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml st: Stopped
id: GI#1 Tube PlaceCheck t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd
id: CVP t0: [14:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd
id: Insulin t0: [14:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: BUN t0: [13:13:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 130 n1: 130 rs: Final st: NotStopd id: Calcium t0: [13:13:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.1 n1: 7.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [13:13:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [13:13:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.5 n1: 5.5 rs: Final st: NotStopd id: Glucose t0: [13:13:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 83 n1: 83 rs: Final st: NotStopd id: Magnesium t0: [13:13:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Phosphorous t0: [13:13:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.5 n1: 5.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [13:13:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [13:13:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [13:13:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 130 n1: 130 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [13:13:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.1 n1: 7.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [13:13:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [13:13:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [13:13:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.5 n1: 5.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [13:13:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 83 n1: 83 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [13:13:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [13:13:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.5 n1: 5.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [13:13:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [13:13:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd
id: CPK/MB t0: [13:13:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd
id: Service Type t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Arterial BP t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lactated Ringers t0: [15:00:00 07/03/2020] el: 2 ai: 106 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [15:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml
id: Fentanyl t0: [15:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [15:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 rs: Manual st: NotStopd
id: Eye Care t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Temp. Site t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd
id: Skin Care t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU st: NotStopd id: Back Care t0: [15:00:00 07/03/2020] el: 0 cg: RN cu: CSRU st: NotStopd
id: Service Type t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd
id: Lactated Ringers t0: [16:00:00 07/03/2020] el: 2 ai: 106 cg: RN cu: CSRU vo: 10 vu: ml id: TF Residual t0: [16:00:00 07/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 100 vu: ml id: Gastric Meds t0: [16:00:00 07/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [16:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml id: Nepro 10.0str t0: [16:00:00 07/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vu: ml
id: Fentanyl t0: [16:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [16:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: HOB t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Position t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: Skin Care t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Stool Out Stool t0: [16:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vu: ml es: Small
id: Less Restrict Meas. t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Circulation/SkinInt t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: RLL Lung Sounds t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Stool Color/Consist t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Urine Color/Appear t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Fingerstick Glucose t0: [16:00:00 07/03/2020] el: 0 cg: CoWker cu: CSRU v1: 103 n1: 103 rs: Manual st: NotStopd
pi: 4397337 hi: 10078 t0: [17:00:00 07/03/2020] tf: [16:00:00 08/03/2020] 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: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lactated Ringers t0: [17:00:00 07/03/2020] el: 2 ai: 106 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [17:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml
id: Fentanyl t0: [17:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Insulin t0: [17:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: CVP t0: [16:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [17:00:00 07/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 1000 vu: ml id: TF Residual t0: [17:00:00 07/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 110 vu: ml
id: Fingerstick Glucose t0: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 rs: Manual st: NotStopd
id: CVP t0: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd
id: Compliance (40-60ml) t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 38.4615 n1: 38.4615 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 1:1.5 st: NotStopd id: Airway Size t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 13.6 n1: 13.6 u1: L/min st: NotStopd id: PEEP Set t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 490 n1: 490 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Midazolam t0: [17:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [17:30:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: Fingerstick Glucose t0: [18:00:00 07/03/2020] el: 0 cg: CoWker cu: CSRU v1: 109 n1: 109 rs: Manual st: NotStopd
id: Service Type t0: [18:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lactated Ringers t0: [18:00:00 07/03/2020] el: 2 ai: 106 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [18:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [18:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [18:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Riker-SAS Scale t0: [18:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd
pi: 4397508 hi: 10078 t0: [19:00:00 07/03/2020] tf: [18:00:00 08/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml LR Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: CVP t0: [18:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd
id: Service Type t0: [18:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Precautions t0: [18:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: SpO2 t0: [18:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [18:30:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [18:30:00 07/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: Lactated Ringers t0: [18:30:00 07/03/2020] el: 2 ai: 106 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:30:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:30:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 7.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:30:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [18:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [18:30:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [18:51:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Arterial Base Excess t0: [18:51:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:51:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:51:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 39 n1: 39 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:51:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:51:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd
id: Service Type t0: [19:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [19:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [19:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 rs: Manual st: NotStopd
id: Fentanyl t0: [19:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [19:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [18:43:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 rs: Final st: NotStopd id: WBC t0: [18:43:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 rs: Final st: NotStopd id: Hematocrit t0: [18:43:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 23.2 n1: 23.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [18:43:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [18:43:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 286 n1: 286 rs: Final st: NotStopd id: RBC t0: [18:43:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [18:43:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [20:00:00 07/03/2020] el: 0 cg: CoWker cu: CSRU v1: 98 n1: 98 rs: Manual st: NotStopd
id: Service Type t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Full Code st: NotStopd id: Compliance (40-60ml) t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 29.4118 n1: 29.4118 u1: ml/cmH st: NotStopd id: Risk for Falls t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Yes st: NotStopd id: ETT Mark/Location t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 27cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: None st: NotStopd id: FiO2 Set t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Normal Sinus st: NotStopd id: High Insp. Pressure t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 1:1,5 st: NotStopd id: Airway Size t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 13.6 n1: 13.6 u1: L/min st: NotStopd id: NBP t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: PEEP Set t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Arterial BP t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Precautions t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 490 n1: 490 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd id: calprevflg t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:00:00 07/03/2020] el: 1 cg: RRT cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 07/03/2020] el: 1 cg: RRT cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [20:00:00 07/03/2020] el: 1 cg: RRT cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: MDI #1 (Puff/Drug) t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Sputum Color/Consist t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 07/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: bath t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done id: Pain Assess Method t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [21:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [21:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [21:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [21:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Barrier t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: No Understanding st: NotStopd id: Education Topic #1 t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [21:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [21:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Position t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: PressureReduceDevice t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: Previous Weight t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: Previous WeightF t0: [21:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [21:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [21:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Management t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: BSA - English t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1.48955 n1: 1.48955 u1: m2 st: NotStopd id: In-Line Sx Change t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: BSA - Metric t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1.73339 n1: 1.73339 u1: m2 st: NotStopd id: Verbal Response t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Weight Change t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Daily Weight t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: Behavior t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: Lactated Ringers t0: [20:00:00 07/03/2020] el: 2 ai: 106 cg: RN cu: CSRU vo: 15 vu: ml id: Lactated Ringers t0: [21:00:00 07/03/2020] el: 2 ai: 106 cg: RN cu: CSRU vu: ml st: Stopped id: TF Residual t0: [20:00:00 07/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 150 vu: ml id: Gastric Meds t0: [20:00:00 07/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 6 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 22.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [19:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [20:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [21:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4397773 hi: 10078 t0: [10:00:00 09/03/2020] tf: [08:00:00 14/03/2020] mn: Epoetin Alfa pt: IV Piggyback st: Inactive (Due to a change order) rt: SC fr: QMOWEFR ds: 10 di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [22:00:00 07/03/2020] el: 0 cg: CoWker cu: CSRU v1: 97 n1: 97 rs: Manual st: NotStopd
id: Blood Products t0: [21:51:00 07/03/2020] el: 0 cg: 3161 cu: CSRU v1: Y rs: Final st: NotStopd
id: Service Type t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 07/03/2020] 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: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: calprevflg t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [21:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 rs: Manual st: NotStopd
id: Packed RBC's t0: [22:00:00 07/03/2020] el: 1 ai: 336 cg: RN cu: CSRU vo: 0 vu: ml uu: Units nb: 1 id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [21:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [22:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [22:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Service Type t0: [23:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [23:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [23:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [23:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: HOB t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [23:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: PressureReduceDevice t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [23:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [23:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Therapeutic Bed t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Verbal Response t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [23:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: Packed RBC's t0: [00:00:00 08/03/2020] el: 1 ai: 336 cg: RN cu: CSRU vo: 175 vu: ml uu: Units id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 08/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 07/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 08/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 07/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [00:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [23:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 08/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 07/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [23:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 07/03/2020] el: 3 cg: RN cu: CSRU pv: 29 cv: 4773 ac: 24 ap: none re: 0 id: Blood Products Total t0: [23:00:00 08/03/2020] el: 3 cg: RN cu: CSRU cv: 175 ac: 24 ap: none re: 0
id: Compliance (40-60ml) t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 27cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 1:1.5 st: NotStopd id: Airway Size t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 13.7 n1: 13.7 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 490 n1: 490 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 rs: Manual st: NotStopd
id: Pain Present t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: CVP t0: [19:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Barrier t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: No Understanding st: NotStopd id: Education Topic #2 t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Arterial BP t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 08/03/2020] 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: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: Previous WeightF t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Rate t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temp. Site t0: [23:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [23:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Temperature F t0: [23:00:00 07/03/2020] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [00:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [01:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 rs: Manual st: NotStopd
id: Gastric Meds t0: [00:00:00 08/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 08/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 08/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [01:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 08/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [00:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [01:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4398214 hi: 10078 t0: [02:00:00 08/03/2020] tf: [14:00:00 08/03/2020] mn: Metoclopramide pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q6H ds: 2, 8, 14, 20 dn: 4 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [02:00:00 08/03/2020] el: 0 cg: CoWker cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 08/03/2020] el: 0 cg: CoWker cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 08/03/2020] el: 0 cg: CoWker cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 08/03/2020] el: 0 cg: CoWker cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 08/03/2020] el: 0 cg: CoWker cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 08/03/2020] el: 0 cg: CoWker cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 08/03/2020] el: 0 cg: CoWker cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 08/03/2020] el: 0 cg: CoWker cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 08/03/2020] el: 0 cg: CoWker cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 08/03/2020] el: 0 cg: CoWker cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 08/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 08/03/2020] el: 0 cg: CoWker cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 08/03/2020] el: 0 cg: CoWker cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 08/03/2020] el: 0 cg: CoWker cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 08/03/2020] el: 0 cg: CoWker cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 08/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 08/03/2020] el: 0 cg: CoWker cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 08/03/2020] el: 0 cg: CoWker cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [02:00:00 08/03/2020] el: 0 cg: CoWker cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [02:00:00 08/03/2020] el: 0 cg: CoWker cu: CSRU v1: 121 n1: 121 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 08/03/2020] el: 1 ai: 109 cg: CoWker cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 08/03/2020] el: 1 ai: 112 cg: CoWker cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [02:00:00 08/03/2020] el: 1 cg: CoWker cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 08/03/2020] el: 1 ai: 338 cg: CoWker cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [02:00:00 08/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 08/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: CVP t0: [02:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd
id: Service Type t0: [03:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [00:00:00 08/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 120 vu: ml id: Packed RBC's t0: [23:00:00 07/03/2020] el: 1 ai: 336 cg: RN cu: CSRU vo: 200 vu: ml uu: Units id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 08/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 08/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [03:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 08/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [03:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: 24h Total In t0: [23:00:00 07/03/2020] el: 3 cg: RN cu: CSRU pv: 229 cv: 5933 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 07/03/2020] el: 3 cg: RN cu: CSRU pv: 199 cv: 5028 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 07/03/2020] el: 3 cg: RN cu: CSRU pv: 199 cv: 9784.17 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 07/03/2020] el: 3 cg: RN cu: CSRU pv: 199 cv: 199 ac: 1 ap: none re: 0 id: Blood Products Total t0: [23:00:00 07/03/2020] el: 3 cg: RN cu: CSRU pv: 200 cv: 200 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [03:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 rs: Manual st: NotStopd
id: Insulin t0: [00:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [01:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [02:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [03:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [21:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [22:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [23:00:00 07/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [03:17:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: Lactic Acid t0: [03:17:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:17:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:17:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:17:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 35 n1: 35 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:17:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:17:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.39 n1: 7.39 rs: Final st: NotStopd id: Ionized Calcium t0: [03:17:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 1.12 n1: 1.12 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [03:17:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: SaO2 t0: [03:17:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 98 n1: 98 u1: % rs: Final st: NotStopd
id: WBC (4-11,000) t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 rs: Final st: NotStopd id: CaO2 t0: [03:17:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 10.9903 n1: 10.9903 u1: ml/dl st: NotStopd id: WBC t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 rs: Final st: NotStopd id: Hematocrit t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 303 n1: 303 rs: Final st: NotStopd id: RBC t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.13 n1: 3.13 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 35.7143 n1: 35.7143 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: FiO2 Set t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 1:1.5 st: NotStopd id: Airway Size t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 13.6 n1: 13.6 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 490 n1: 490 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Fingerstick Glucose t0: [04:00:00 08/03/2020] el: 0 cg: CoWker cu: CSRU v1: 95 n1: 95 rs: Manual st: NotStopd
id: BUN t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 127 n1: 127 rs: Final st: NotStopd id: Calcium t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.6 n1: 7.6 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.1 n1: 5.1 rs: Final st: NotStopd id: Glucose t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 89 n1: 89 rs: Final st: NotStopd id: Magnesium t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Phosphorous t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.9 n1: 4.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 127 n1: 127 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.6 n1: 7.6 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Chloride (100-112) t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.1 n1: 5.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 89 n1: 89 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.9 n1: 4.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd
id: ETT Position Change t0: [04:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Done st: NotStopd
id: Pain Present t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: Service Type t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: HOB t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Orientation t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Position t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 08/03/2020] 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: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: Previous WeightF t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Skin Care t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Verbal Response t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [05:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 08/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 08/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 08/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 08/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [04:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: Urine Out Foley t0: [05:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 08/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 08/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [04:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [05:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [04:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [05:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Circulation/SkinInt t0: [02:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Barrier t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: No Understanding st: NotStopd id: Education Topic #1 t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: GI Intub #1/Site t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Oral Cavity t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Position Change t0: [02:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: RLL Lung Sounds t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [02:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Urine Color/Appear t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Behavior t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [02:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 08/03/2020] el: 0 cg: CoWker cu: CSRU v1: 103 n1: 103 rs: Manual st: NotStopd
id: CPK/MB t0: [02:58:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Service Type t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [07:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [07:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [07:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [07:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [07:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [07:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [07:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP t0: [07:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [07:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 08/03/2020] 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: [07:00:00 08/03/2020] 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 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: Previous WeightF t0: [07:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 08/03/2020] 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 08/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Rate t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [07:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 08/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 08/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 08/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 08/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [06:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [07:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 08/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 08/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [06:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [07:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [06:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [07:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [07:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 rs: Manual st: NotStopd
id: Service Type t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: calprevflg t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [08:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [08:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Circulation/SkinInt t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Bilious st: NotStopd id: Abdominal Assessment t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: RLL Lung Sounds t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temperature C (calc) t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: TF Residual t0: [08:00:00 08/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 85 vu: ml id: Gastric Meds t0: [08:00:00 08/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 08/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 08/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [08:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 08/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [08:00:00 08/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 0 vu: ml nb: 1
id: PO/Gastric In Total t0: [23:00:00 08/03/2020] el: 3 cg: RN cu: CSRU cv: 375 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 1:1.5 st: NotStopd id: Airway Size t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 13.6 n1: 13.6 u1: L/min st: NotStopd id: PEEP Set t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 490 n1: 490 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:29:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 08/03/2020] 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 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 08/03/2020] 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 08/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [09:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [09:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Eye Care t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV Line#1 Type/Site t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Oral Care t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Dsg Change t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Skin Care t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Tubing Change t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: In-Line Sx Change t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Back Care t0: [09:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 08/03/2020] 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 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 08/03/2020] 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 08/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 08/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 08/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [09:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [10:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 08/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 20 vu: ml id: Nepro 10.0str t0: [10:00:00 08/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 40 vu: ml
id: Fentanyl t0: [10:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [10:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: D5W 100.0ml t0: [10:30:00 08/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [11:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 08/03/2020] 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 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 08/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 08/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [11:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 08/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [11:00:00 08/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 20 vu: ml
id: Fentanyl t0: [11:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [11:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Service Type t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Family Communication t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: GCS Total t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Heart Rate t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Cavity t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 08/03/2020] 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 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 08/03/2020] 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 08/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Urine Color/Appear t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [10:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 08/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 08/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [12:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 08/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [12:00:00 08/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 20 vu: ml
id: Fentanyl t0: [12:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 08/03/2020] el: 3 cg: RN cu: CSRU pv: 23.5 cv: 682.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 08/03/2020] el: 3 cg: RN cu: CSRU pv: 63.5 cv: 1642.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 08/03/2020] el: 3 cg: RN cu: CSRU pv: 15 cv: 15 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 08/03/2020] el: 3 cg: RN cu: CSRU pv: 40 cv: 410 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 08/03/2020] el: 3 cg: RN cu: CSRU pv: 15 cv: 1014 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 08/03/2020] el: 3 cg: RN cu: CSRU pv: 48.5 cv: 628.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 08/03/2020] el: 3 cg: RN cu: CSRU pv: 48.5 cv: 10412.7 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 08/03/2020] el: 3 cg: RN cu: CSRU pv: 48.5 cv: 48.5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 08/03/2020] el: 3 cg: RN cu: CSRU pv: 15 cv: 1014 ac: 24 ap: none re: 0
id: CVP t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 rs: Manual st: NotStopd
id: Insulin t0: [12:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 4399237 hi: 10078 t0: [14:00:00 08/03/2020] tf: [11:00:00 11/03/2020] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 33.3333 n1: 33.3333 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 1:1.5 st: NotStopd id: Airway Size t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 13.6 n1: 13.6 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 480 n1: 480 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Minute Volume(Obser) t0: [12:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 11.1 n1: 11.1 u1: L/min st: NotStopd id: Respiratory Rate Set t0: [12:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd
id: Service Type t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 08/03/2020] 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 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 08/03/2020] 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 08/03/2020] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: calprevflg t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [08:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd id: Insulin Guideline t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd
id: TF Residual t0: [12:00:00 08/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 08/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 08/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [13:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 08/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [13:00:00 08/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 20 vu: ml
id: Insulin t0: [13:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: HOB t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Oral Care t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Position t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: Skin Care t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Fentanyl t0: [13:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: INV Line#1 Type/Site t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#1 Tubing Change t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [13:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd
id: Service Type t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 08/03/2020] 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 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 08/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 08/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [14:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 08/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml id: Nepro 10.0str t0: [14:00:00 08/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 20 vu: ml
id: Fentanyl t0: [14:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [14:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 rs: Manual st: NotStopd
pi: 4399455 hi: 10078 t0: [20:00:00 08/03/2020] tf: [09:00:00 15/03/2020] mn: Metoclopramide pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q6H ds: 2, 8, 14, 20 dn: 4 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [15:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [15:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [15:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [15:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [15:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [15:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:30:00 08/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:30:00 08/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18.75 vu: ml id: Urine Out Foley t0: [15:30:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:30:00 08/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 13.5 vu: ml id: Nepro 10.0str t0: [15:30:00 08/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml
id: Fentanyl t0: [15:30:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:30:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [15:30:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Circulation/SkinInt t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Bilious st: NotStopd id: Abdominal Assessment t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Position Change t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: RLL Lung Sounds t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Urine Color/Appear t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [14:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: TF Residual t0: [16:00:00 08/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 85 vu: ml id: Gastric Meds t0: [16:00:00 08/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 08/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 08/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 6.25 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 08/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 4.5 vu: ml id: Nepro 10.0str t0: [16:00:00 08/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml
id: Art.pH t0: [15:50:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Arterial Base Excess t0: [15:50:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [15:50:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [15:50:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [15:50:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [15:50:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Ionized Calcium t0: [15:50:00 08/03/2020] el: 0 cg: 3161 cu: CSRU v1: 1.13 n1: 1.13 rs: Final st: NotStopd
id: Service Type t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [15:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [15:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Arterial BP t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Assistance Device t0: [15:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Turn t0: [15:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 08/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 08/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [17:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 08/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml id: Nepro 10.0str t0: [17:00:00 08/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml
id: Fentanyl t0: [16:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [16:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Oral Care t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Position t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: PressureReduceDevice t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Skin Care t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: INV#1 Tubing Change t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Back Care t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [17:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [17:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Family Communication t0: [16:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd
id: Service Type t0: [17:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [17:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [17:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [17:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [17:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 rs: Manual st: NotStopd
id: Fentanyl t0: [17:30:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:30:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [17:30:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 41.6667 n1: 41.6667 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 1:1.9 st: NotStopd id: Airway Size t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 11.4 n1: 11.4 u1: L/min st: NotStopd id: PEEP Set t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Ve High t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [17:20:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 08/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 08/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [18:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 08/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml id: Nepro 10.0str t0: [18:00:00 08/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml
id: Fentanyl t0: [18:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [18:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [19:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 153 n1: 153 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [19:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [19:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 rs: Manual st: NotStopd
id: Fentanyl t0: [19:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [19:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 4400133 hi: 10078 t0: [10:00:00 08/03/2020] tf: [16:00:00 12/03/2020] mn: Calcitriol pt: Unit Dose st: Discontinued rt: IV fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4400135 hi: 10078 t0: [17:00:00 08/03/2020] tf: [16:00:00 12/03/2020] mn: Calcium Acetate pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID W/MEALS ds: 08, 12, 17 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 38.4615 n1: 38.4615 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Airway Size t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 18.4 n1: 18.4 u1: L/min st: NotStopd id: PEEP Set t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Ve High t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 1300 n1: 1300 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:30:00 08/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Fingerstick Glucose t0: [20:00:00 08/03/2020] el: 0 cg: CoWker cu: CSRU v1: 96 n1: 96 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: PainLevel Acceptable t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Barrier t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Bilious st: NotStopd id: HOB t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: LLL Lung Sounds t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 156 n1: 156 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Position t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: PressureReduceDevice t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Verbal Response t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [18:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 08/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 08/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 08/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml
id: Fentanyl t0: [20:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: TF Residual t0: [19:00:00 08/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vu: ml id: TF Residual t0: [20:00:00 08/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 25 vu: ml id: Gastric Meds t0: [20:00:00 08/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 08/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: GT Flush t0: [20:00:00 08/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 08/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [19:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vu: ml id: Urine Out Foley t0: [20:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 08/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml id: Nepro 10.0str t0: [19:00:00 08/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 30 vu: ml id: Nepro 10.0str t0: [20:00:00 08/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 40 vu: ml
id: Insulin t0: [20:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 4400323 hi: 10078 t0: [22:00:00 08/03/2020] tf: [21:00:00 09/03/2020] mn: Vancomycin HCl pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: bath t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: done id: Service Type t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Eye Care t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Position t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Skin Care t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Back Care t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 08/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 1.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 08/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [21:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 39 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 08/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml id: Nepro 10.0str t0: [21:00:00 08/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 40 vu: ml
id: Fentanyl t0: [21:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [21:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Service Type t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 08/03/2020] 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: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 167 n1: 167 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 08/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 1.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 08/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 08/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml id: Nepro 10.0str t0: [22:00:00 08/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 40 vu: ml
id: Fentanyl t0: [22:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [22:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Urine Out Foley t0: [22:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Service Type t0: [22:25:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:35:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:25:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [22:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [22:35:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [22:25:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:35:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:25:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:35:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:25:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [22:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [22:35:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:25:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:35:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:25:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [22:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [22:35:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:25:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:35:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:35:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [22:35:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Arterial BP t0: [22:25:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP t0: [22:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP t0: [22:35:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:25:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:35:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [22:25:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [22:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [22:35:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:25:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:35:00 08/03/2020] 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: [22:25:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:35:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:25:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:35:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:25:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:35:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [22:25:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: Previous WeightF t0: [22:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: Previous WeightF t0: [22:35:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:25:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:35:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:35:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [22:25:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [22:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [22:35:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [22:25:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:30:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:35:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [22:25:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:30:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:35:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:25:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:30:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:35:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [22:25:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [22:30:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [22:35:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [22:35:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:35:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: Less Restrict Meas. t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Circulation/SkinInt t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Topic #1 t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Position Change t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Restraint Location t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Pt./Family Informed t0: [22:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Service Type t0: [23:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [23:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 08/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 08/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [23:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 08/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml id: Nepro 10.0str t0: [23:00:00 08/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 40 vu: ml
id: Fentanyl t0: [23:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [23:00:00 08/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: PainLevel Acceptable t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 08/03/2020] el: 1 cg: RN cu: CSRU v1: Agitated st: NotStopd id: GI Prophylaxis t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 08/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Bilious st: NotStopd id: HOB t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: LLL Lung Sounds t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [00:00:00 09/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Management t0: [20:00:00 08/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position Change t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: PressureReduceDevice t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Verbal Response t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Pt./Family Informed t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [00:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 36 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml
id: Fentanyl t0: [00:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [00:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [00:00:00 09/03/2020] el: 0 cg: CoWker cu: CSRU v1: 135 n1: 135 rs: Manual st: NotStopd
id: Activity Tolerance t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Position t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Sputum Source/Amt t0: [00:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: None st: NotStopd
id: TF Residual t0: [00:00:00 09/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [00:00:00 09/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 75 vu: ml id: GT Flush t0: [00:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 60 vu: ml id: Nepro 10.0str t0: [00:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Compliance (40-60ml) t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 35.7143 n1: 35.7143 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 1:1.9 st: NotStopd id: Airway Size t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 11.7 n1: 11.7 u1: L/min st: NotStopd id: PEEP Set t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Ve High t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Sputum Color/Consist t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:30:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Service Type t0: [01:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 147 n1: 147 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [01:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [01:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 28 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml id: Nepro 10.0str t0: [01:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [01:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [01:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [01:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [01:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Service Type t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Risk for Falls t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Topic #1 t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: HOB t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: AntiEmbDevice/Status t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Position t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Rate t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: calprevflg t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.5 vu: ml id: Urine Out Foley t0: [02:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 32 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml id: Nepro 10.0str t0: [02:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [02:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 125 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [02:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [02:00:00 09/03/2020] el: 0 cg: CoWker cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd
id: Service Type t0: [02:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [02:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [02:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Precautions t0: [02:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [02:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [02:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [02:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [02:30:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [02:30:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 130 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:30:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [02:30:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Bleeding st: NotStopd id: INV Line#2 Type/Site t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV#1 WaveformAppear t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None/Remarks st: NotStopd id: Arterial BP t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Position t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: PressureReduceDevice t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: INV#1 Tubing Change t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Therapeutic Bed t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: calprevflg t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 12.75 vu: ml id: Urine Out Foley t0: [03:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [03:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [03:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 130 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [03:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Art.pH t0: [03:10:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: Arterial Base Excess t0: [03:10:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [03:10:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Arterial PaCO2 t0: [03:10:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 41 n1: 41 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [03:10:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 106 n1: 106 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [03:10:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd
id: Service Type t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Oral Care t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [03:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: In-Line Sx Change t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: calprevflg t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 13 vu: ml id: Urine Out Foley t0: [04:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 11 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [04:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [04:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 130 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [04:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [04:00:00 09/03/2020] el: 0 cg: CoWker cu: CSRU v1: 133 n1: 133 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 38.4615 n1: 38.4615 u1: ml/cmH st: NotStopd id: RSBI Not Completed t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: PEEP >10 st: NotStopd id: ETT Mark/Location t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 1:1.9 st: NotStopd id: Airway Size t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 10.6 n1: 10.6 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Change in Vitals st: NotStopd id: PainLevel Acceptable t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Circulation/SkinInt t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 09/03/2020] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [04:00:00 09/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position Change t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: RLL Lung Sounds t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Support Systems t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Urine Color/Appear t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: WBC (4-11,000) t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 9.7 n1: 9.7 rs: Final st: NotStopd id: WBC t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 9.7 n1: 9.7 rs: Final st: NotStopd id: Hematocrit t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 27.3 n1: 27.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.9 n1: 8.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 370 n1: 370 rs: Final st: NotStopd id: RBC t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.42 n1: 3.42 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 9.7 n1: 9.7 rs: Final st: NotStopd
id: TF Residual t0: [04:00:00 09/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 5 vu: ml
id: Service Type t0: [05:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [05:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [05:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 09/03/2020] 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 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 09/03/2020] 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 09/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 13 vu: ml id: Urine Out Foley t0: [05:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 16 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [05:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [05:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 130 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [05:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: BUN t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 127 n1: 127 rs: Final st: NotStopd id: Calcium t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.7 n1: 4.7 rs: Final st: NotStopd id: Glucose t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 rs: Final st: NotStopd id: Magnesium t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Phosphorous t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd id: Amylase t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 71 n1: 71 rs: Final st: NotStopd id: BUN (6-20) t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 127 n1: 127 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 21 n1: 21 rs: Final st: NotStopd id: Chloride (100-112) t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.7 n1: 4.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 115 n1: 115 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 09/03/2020] el: 0 cg: CoWker cu: CSRU v1: 122 n1: 122 rs: Manual st: NotStopd
id: Service Type t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 09/03/2020] 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 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 13 vu: ml id: Urine Out Foley t0: [06:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [06:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [06:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 130 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [06:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: INV Line#1 Type/Site t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd
id: Service Type t0: [07:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [07:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 09/03/2020] 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 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 09/03/2020] 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 09/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 13 vu: ml id: Urine Out Foley t0: [07:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [07:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [07:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 130 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [07:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Circulation/SkinInt t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Topic #1 t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Position Change t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Restraint Location t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Pt./Family Informed t0: [06:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: CPK/MB t0: [02:50:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 45.4545 n1: 45.4545 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 1:1.9 st: NotStopd id: Airway Size t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 37.14 n1: 37.14 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 17.4 n1: 17.4 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 2500 n1: 2500 st: NotStopd id: Tank B psi. t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 WaveformAppear t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Arterial BP t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [08:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 130 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [08:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [08:00:00 09/03/2020] el: 0 cg: CoWork cu: CSRU v1: 98 n1: 98 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [09:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [09:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [08:00:00 09/03/2020] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [09:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [09:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Learner t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: GI#1 Intub Site t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: Activity t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: LLL Lung Sounds t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [09:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Pain Location t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [08:00:00 09/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [09:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 09/03/2020] 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 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [09:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Guaiac t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Stool Management t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Verbal Response t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [09:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: TF Residual t0: [08:00:00 09/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 09/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 1 vu: ml id: GT Flush t0: [08:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 13 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 13 vu: ml id: Urine Out Foley t0: [08:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [09:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [08:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro 10.0str t0: [09:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [09:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 130 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 09/03/2020] el: 3 cg: RN cu: CSRU cv: 385 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 09/03/2020] 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 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 09/03/2020] 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 09/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 1 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 13 vu: ml id: Urine Out Foley t0: [10:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [10:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [10:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 130 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [09:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [10:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [10:00:00 09/03/2020] el: 0 cg: CoWork cu: CSRU v1: 137 n1: 137 rs: Manual st: NotStopd
id: Minute Volume(Obser) t0: [10:54:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 9.6 n1: 9.6 u1: L/min st: NotStopd id: PEEP Set t0: [10:54:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Pressure Support t0: [10:54:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Spont) t0: [10:54:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [10:54:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [10:54:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Tidal Volume (Spont) t0: [10:54:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 950 n1: 950 u1: ml/B st: NotStopd
id: Service Type t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 09/03/2020] 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 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 13 vu: ml id: Urine Out Foley t0: [11:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [11:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [11:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 130 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [11:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: GI Prophylaxis t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: ETT Mark/Location t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Size t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: LLL Lung Sounds t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 150 n1: 150 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: Pain Location t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [12:00:00 09/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Position t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: PressureReduceDevice t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 09/03/2020] 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 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 09/03/2020] 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 09/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Color/Consist t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Guaiac t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Stool Management t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [12:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [12:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [12:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [12:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 09/03/2020] el: 3 cg: RN cu: CSRU pv: 35 cv: 649.25 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 09/03/2020] el: 3 cg: RN cu: CSRU pv: 80 cv: 2114.25 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 09/03/2020] el: 3 cg: RN cu: CSRU pv: 30 cv: 30 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 09/03/2020] el: 3 cg: RN cu: CSRU pv: 45 cv: 1080 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 09/03/2020] el: 3 cg: RN cu: CSRU pv: 30 cv: 1346 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 09/03/2020] el: 3 cg: RN cu: CSRU pv: 50 cv: 768.25 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 09/03/2020] el: 3 cg: RN cu: CSRU pv: 50 cv: 11180.9 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 09/03/2020] el: 3 cg: RN cu: CSRU pv: 50 cv: 50 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 09/03/2020] el: 3 cg: RN cu: CSRU pv: 30 cv: 1346 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [12:00:00 09/03/2020] el: 0 cg: CoWork cu: CSRU v1: 140 n1: 140 rs: Manual st: NotStopd
id: Art.pH t0: [12:05:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: CaO2 t0: [12:05:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 11.9123 n1: 11.9123 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [12:05:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: -3 n1: -3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [12:05:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 22 n1: 22 rs: Final st: NotStopd id: Arterial PaCO2 t0: [12:05:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 38 n1: 38 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [12:05:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [12:05:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.36 n1: 7.36 rs: Final st: NotStopd id: SaO2 t0: [12:05:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Service Type t0: [13:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Family Communication t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Heart Rate t0: [13:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 09/03/2020] 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 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [13:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 09/03/2020] 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 09/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [13:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [13:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [13:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [13:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Airway Size t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: PEEP Set t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Spont) t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Ve High t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 910 n1: 910 u1: ml/B st: NotStopd id: Ventilator Mode t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [13:22:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Fingerstick Glucose t0: [14:00:00 09/03/2020] el: 0 cg: CoWork cu: CSRU v1: 191 n1: 191 rs: Manual st: NotStopd
id: Service Type t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Arterial BP t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Position t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 09/03/2020] 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 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [14:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [14:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [14:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [14:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [15:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: ETT Mark/Location t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [15:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Learner t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Sig Othr/Family st: NotStopd id: GI#1 Intub Site t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [12:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: FiO2 Set t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: GCS Total t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Heart Rate t0: [15:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Airway Size t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: LLL Lung Sounds t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: PEEP Set t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Arterial BP t0: [15:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Pain Location t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [16:00:00 09/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [15:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Precautions t0: [15:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Pressure Support t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 09/03/2020] 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: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: Previous WeightF t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Sputum Color/Consist t0: [15:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Stool Guaiac t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Stool Management t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Mode t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [15:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: TF Residual t0: [16:00:00 09/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 40 vu: ml id: Gastric Meds t0: [16:00:00 09/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5 vu: ml id: GT Flush t0: [16:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [15:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [16:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [15:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro 10.0str t0: [16:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [15:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [15:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [16:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 rs: Manual st: NotStopd
pi: 4403037 hi: 10078 t0: [20:00:00 09/03/2020] tf: [10:00:00 16/03/2020] mn: Tacrolimus pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [17:27:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.33 n1: 7.33 rs: Final st: NotStopd id: ETT Mark/Location t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Airway Size t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: L/min st: NotStopd id: PEEP Set t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Spont) t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Ve High t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 1000 n1: 1000 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [17:31:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Arterial Base Excess t0: [17:27:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:27:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:27:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:27:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 120 n1: 120 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:27:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.33 n1: 7.33 rs: Final st: NotStopd
id: CaO2 t0: [17:27:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 11.9402 n1: 11.9402 u1: ml/dl st: NotStopd id: SaO2 t0: [17:27:00 09/03/2020] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Service Type t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 09/03/2020] 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: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: Previous WeightF t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: calprevflg t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [17:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml id: Nepro 10.0str t0: [18:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [17:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [16:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [17:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Insulin t0: [18:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Urine Out Foley t0: [17:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 90 vu: ml id: Urine Out Foley t0: [18:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: Eye Care t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: Skin Care t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [17:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Fingerstick Glucose t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 190 n1: 190 rs: Manual st: NotStopd
id: Service Type t0: [19:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: calprevflg t0: [19:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml nb: 1 id: Nepro 10.0str t0: [19:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [19:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [19:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Resp. Rate t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.8 n1: 8.8 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 1100 n1: 1100 st: NotStopd id: Tank B psi. t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 1400 n1: 1400 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Source/Amt t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 09/03/2020] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Barrier t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Pain Location t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [20:00:00 09/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Arterial BP Mean t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: PressureReduceDevice t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Stool Guaiac t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Stool Management t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Temperature C (calc) t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Verbal Response t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [18:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [20:00:00 09/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 5 vu: ml id: Gastric Meds t0: [20:00:00 09/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 5 vu: ml id: GT Flush t0: [20:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [20:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 23 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [20:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [20:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 rs: Manual st: NotStopd
id: Insulin t0: [20:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [21:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: calprevflg t0: [21:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [21:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 180 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [21:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [21:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [21:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [21:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Service Type t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 09/03/2020] 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: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [22:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [22:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [22:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Insulin t0: [22:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Urine Out Foley t0: [22:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: INV Line#1 Zero/Cal t0: [22:00:00 09/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#1 WaveformAppear t0: [22:00:00 09/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd
pi: 4403747 hi: 10078 t0: [23:00:00 09/03/2020] tf: [09:00:00 18/03/2020] mn: Haloperidol pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4403751 hi: 10078 t0: [23:00:00 09/03/2020] tf: [17:00:00 17/03/2020] mn: Midazolam HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: INV Line#1 D/C Date t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV Line#1 Type/Site t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: INV Line#1SiteAppear t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Bleeding st: NotStopd id: INV Line#2 Type/Site t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: INV#1 Dsg Change t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 7 n2: 7 st: NotStopd id: INV#2 Dsg Change t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: INV#1 Tubing Change t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Cap Change t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd
id: bath t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: done id: Eye Care t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Position t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: Skin Care t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Back Care t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Midazolam t0: [22:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [23:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [23:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [23:00:00 09/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 09/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [23:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 09/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml id: Nepro 10.0str t0: [23:00:00 09/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [23:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [23:00:00 09/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Topic #1 t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Position Change t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Pt./Family Informed t0: [22:00:00 09/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 10/03/2020] el: 0 cg: CoWker cu: CSRU v1: 91 n1: 91 rs: Manual st: NotStopd
pi: 4403978 hi: 10078 t0: [01:00:00 10/03/2020] tf: [12:00:00 28/03/2020] mn: Pantoprazole pt: IV Piggyback st: Discontinued rt: IV fr: Q12H ds: 1, 13 dn: 2 di: Ongoing xu: Enter on Label
id: ETT Mark/Location t0: [00:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Insp. Pressure t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [00:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 9.1 n1: 9.1 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 st: NotStopd id: Ve High t0: [20:00:00 09/03/2020] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 1105 n1: 1105 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 10/03/2020] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Guaiac/ph t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: GI Intub #1/Site t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [00:00:00 10/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: PressureReduceDevice t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 10/03/2020] 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: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Stool Color/Consist t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: Temp. Site t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Verbal Response t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: TF Residual t0: [00:00:00 10/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [00:00:00 10/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 10/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3 vu: ml id: GT Flush t0: [00:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 10/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [01:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 24 vu: ml id: Nepro 10.0str t0: [01:00:00 10/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 90 vu: ml
id: Fentanyl t0: [00:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [01:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [00:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [01:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Arterial BP t0: [01:00:00 10/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: Arterial BP Mean t0: [01:00:00 10/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Service Type t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: NBP t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: INV#2 Cap Change t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [01:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: calprevflg t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 10/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 1.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 10/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [02:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 21 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml id: Nepro 10.0str t0: [02:00:00 10/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 45 vu: ml
id: Fentanyl t0: [02:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [02:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Topic #1 t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Position Change t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Pt./Family Informed t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Fingerstick Glucose t0: [02:00:00 10/03/2020] el: 0 cg: CoWker cu: CSRU v1: 96 n1: 96 rs: Manual st: NotStopd
id: QTc t0: [02:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 0.427 n1: 0.427 u1: sec st: NotStopd
id: Service Type t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [03:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [03:30:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 rs: Manual st: NotStopd
id: Fentanyl t0: [03:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [03:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 10/03/2020] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Bilious st: NotStopd id: HOB t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Distended st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [04:00:00 10/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: PressureReduceDevice t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Stool Color/Consist t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Verbal Response t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [04:00:00 10/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 180 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [04:00:00 10/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 10/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 38 vu: ml id: Urine Out Foley t0: [04:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 180 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 23.5 vu: ml id: Nepro 10.0str t0: [04:00:00 10/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 90 vu: ml st: Stopped
id: Fentanyl t0: [04:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [04:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: RSBI (<100) t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.33333 n1: 8.33333 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.4 n1: 8.4 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.33333 n1: 8.33333 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 1.08 n1: 1.08 u1: L st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 1140 n1: 1140 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: ETT Mark/Location t0: [04:30:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:30:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:30:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:30:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [04:30:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:30:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:30:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:30:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [04:30:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [04:30:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:30:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.2 n1: 8.2 u1: L/min st: NotStopd id: PEEP Set t0: [04:30:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:30:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:30:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [04:30:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [04:30:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [04:30:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:30:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [04:30:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 993 n1: 993 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:30:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: Pressure Support st: NotStopd id: Ventilator Type t0: [04:30:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: WBC (4-11,000) t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 9.6 n1: 9.6 rs: Final st: NotStopd id: WBC t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 9.6 n1: 9.6 rs: Final st: NotStopd id: Hematocrit t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 25.3 n1: 25.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 319 n1: 319 rs: Final st: NotStopd id: RBC t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.19 n1: 3.19 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 9.6 n1: 9.6 rs: Final st: NotStopd
id: BUN t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 118 n1: 118 rs: Final st: NotStopd id: Calcium t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Glucose t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 70 n1: 70 rs: Final st: NotStopd id: Magnesium t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Phosphorous t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.7 n1: 4.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 118 n1: 118 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 70 n1: 70 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.7 n1: 4.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:11:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: NBP t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 10/03/2020] 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 10/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 10/03/2020] 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 10/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [05:00:00 10/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 1.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 10/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 11.5 vu: ml id: Nepro 10.0str t0: [05:00:00 10/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vu: ml st: NotStopd
id: Fentanyl t0: [05:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [05:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: Tube Feeds In Total t0: [23:00:00 10/03/2020] el: 3 cg: RN cu: CSRU cv: 225 ac: 24 ap: none re: 0
id: Edema Location/Amt#1 t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Topic #1 t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: HOB t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Serosanguinous v2: Scant st: NotStopd id: ImpSkin Wound Base#1 t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: Position t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: Side Rails t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Pt./Family Informed t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 rs: Manual st: NotStopd
id: Service Type t0: [05:30:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:30:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [05:30:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:30:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:30:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Precautions t0: [05:30:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:30:00 10/03/2020] 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: [05:30:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:30:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:30:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:30:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:30:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [05:30:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: % st: NotStopd id: calprevflg t0: [05:30:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [05:30:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:30:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [05:30:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [05:35:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [05:35:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [05:35:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [05:35:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [05:35:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [05:35:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 st: NotStopd id: Mean Airway Pressure t0: [05:35:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:35:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: L/min st: NotStopd id: PEEP Set t0: [05:35:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Pressure Support t0: [05:35:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [05:35:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [05:35:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [05:35:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 1300 n1: 1300 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:35:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd
id: Art.pH t0: [05:43:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.32 n1: 7.32 rs: Final st: NotStopd id: CaO2 t0: [05:43:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 10.3136 n1: 10.3136 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [05:43:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:43:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:43:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:43:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 66 n1: 66 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:43:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.32 n1: 7.32 rs: Final st: NotStopd id: SaO2 t0: [05:43:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 92 n1: 92 u1: % rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 10/03/2020] el: 0 cg: CoWker cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd
id: Service Type t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 10/03/2020] 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 10/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [05:45:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [05:45:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [06:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 10/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 1.25 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 10/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [06:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 11.5 vu: ml
id: Fentanyl t0: [06:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [06:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [08:00:00 10/03/2020] el: 0 cg: CoWork cu: CSRU v1: 120 n1: 120 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [08:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [08:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 1100 n1: 1100 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 45 n1: 45 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 49 n1: 49 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 45 n1: 45 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 10/03/2020] 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 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 10/03/2020] 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 10/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 10/03/2020] 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 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 10/03/2020] 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 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [07:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [07:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [07:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [08:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [09:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Circulation/SkinInt t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Learner t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: GI#1 Intub Site t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Undigested Food st: NotStopd id: HOB t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Serosanguinous v2: Scant st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: LLL Lung Sounds t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: PressureReduceDevice t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: RLL Lung Sounds t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Stool Guaiac t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Stool Management t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [09:00:00 10/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: TF Residual t0: [08:00:00 10/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 150 vu: ml id: Gastric Meds t0: [08:00:00 10/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [07:00:00 10/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 1 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 10/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 1 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [09:00:00 10/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 1 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [10:00:00 10/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 1 vu: ml id: GT Flush t0: [08:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 10/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 10/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 10/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 10/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [07:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [08:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [09:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 11.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 11.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 11.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 11.5 vu: ml
id: PO/Gastric In Total t0: [23:00:00 10/03/2020] el: 3 cg: RN cu: CSRU cv: 210 ac: 24 ap: none re: 0
id: Service Type t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 10/03/2020] 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 10/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 10/03/2020] 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 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 rs: Manual st: NotStopd
id: Urine Out Foley t0: [10:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Fentanyl t0: [10:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [10:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 10/03/2020] 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 10/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 10/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 1 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 10/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [11:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 11.5 vu: ml
id: Fentanyl t0: [11:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [11:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 4405202 hi: 10078 t0: [12:00:00 10/03/2020] tf: [00:00:00 21/03/2020] mn: Lorazepam pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4405203 hi: 10078 t0: [12:00:00 10/03/2020] tf: [20:00:00 01/04/2020] mn: Bisacodyl pt: Unit Dose st: Discontinued via patient discharge rt: PR fr: HS:PRN di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 10/03/2020] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Undigested Food st: NotStopd id: HOB t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: LLL Lung Sounds t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Level of Conscious t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Oral Care t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 10/03/2020] 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 10/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 10/03/2020] 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 10/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Reason For Restraint t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 10/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 1 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 10/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [12:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [12:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [12:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 10/03/2020] el: 3 cg: RNs cu: CSRU pv: 28 cv: 963.25 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 10/03/2020] el: 3 cg: RNs cu: CSRU pv: 28 cv: 1398.25 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 10/03/2020] el: 3 cg: RNs cu: CSRU pv: 45 cv: 45 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 10/03/2020] el: 3 cg: RNs cu: CSRU pv: 45 cv: 1626 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 10/03/2020] el: 3 cg: RNs cu: CSRU pv: -17 cv: -227.75 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 10/03/2020] el: 3 cg: RNs cu: CSRU pv: -17 cv: 10953.2 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 10/03/2020] el: 3 cg: RNs cu: CSRU pv: -17 cv: -17 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 10/03/2020] el: 3 cg: RNs cu: CSRU pv: 45 cv: 1626 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [12:00:00 10/03/2020] el: 0 cg: CoWork cu: CSRU v1: 120 n1: 120 rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 10/03/2020] 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 10/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 10/03/2020] 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 10/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [13:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 10/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 1 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 10/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [13:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [13:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [13:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [13:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [13:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [13:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [13:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [13:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [13:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [13:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [13:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 st: NotStopd id: Low Exhaled Min Vol t0: [13:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [13:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [13:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [13:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: L/min st: NotStopd id: PEEP Set t0: [10:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: PEEP Set t0: [13:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [13:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [10:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Pressure Support t0: [13:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [13:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Ve High t0: [13:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [13:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [13:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 990 n1: 990 u1: ml/B st: NotStopd id: Ventilator Mode t0: [13:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [13:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Oral Care t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 10/03/2020] 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 10/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: calprevflg t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 10/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 1 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 10/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [14:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [14:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [14:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
pi: 4406108 hi: 10078 t0: [15:00:00 10/03/2020] tf: [14:00:00 11/03/2020] mn: Vancomycin HCl pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4406116 hi: 10078 t0: [15:00:00 10/03/2020] tf: [14:00:00 10/03/2020] mn: Haloperidol pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4406117 hi: 10078 t0: [15:00:00 10/03/2020] tf: [14:00:00 10/03/2020] mn: Diazepam pt: Unit Dose st: Discontinued rt: IV fr: 2X dn: 0 dt: 2 di: Doses xv: 36 xu: Hours
id: Fingerstick Glucose t0: [14:00:00 10/03/2020] el: 0 cg: CoWork cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd
id: Venous CO2(Calc) t0: [14:30:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Venous PvCO2 t0: [14:30:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 48 n1: 48 u1: mmHg rs: Final st: NotStopd id: Venous PvO2 t0: [14:30:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Venous pH t0: [14:30:00 10/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.29 n1: 7.29 u1: pH rs: Final st: NotStopd
id: ETT Mark/Location t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 st: NotStopd id: Low Exhaled Min Vol t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 17.1 n1: 17.1 u1: L/min st: NotStopd id: PEEP Set t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Ve High t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 st: NotStopd id: Sensitivity-Vent t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 880 n1: 880 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [15:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: calprevflg t0: [15:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 10/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 1 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 10/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [15:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [15:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [15:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Position Change t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [14:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Range of Motion t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [16:00:00 10/03/2020] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Barrier t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: LLL Lung Sounds t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Oral Cavity t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: PressureReduceDevice t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Stool Color/Consist t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 4 n2: 4 st: NotStopd id: Verbal Response t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Pt./Family Informed t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 10/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 1 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 10/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [16:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [16:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [16:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [16:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [16:00:00 10/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
id: Service Type t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % st: NotStopd id: calprevflg t0: [17:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [12:00:00 10/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 150 vu: ml id: TF Residual t0: [16:00:00 10/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 10/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 10/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [17:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [17:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [17:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: ETT Mark/Location t0: [17:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [17:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [17:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: BPM st: NotStopd id: Airway Size t0: [17:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [17:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [17:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [17:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 st: NotStopd id: Low Exhaled Min Vol t0: [17:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [17:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: L/min st: NotStopd id: PEEP Set t0: [17:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [17:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [17:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [17:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [17:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [17:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [17:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [17:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 990 n1: 990 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [17:00:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 10/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 10/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [18:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [18:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Urine Out Foley t0: [18:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Oral Care t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [19:00:00 10/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 10/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 10/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [19:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 10/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [19:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [19:00:00 10/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 10/03/2020] el: 1 cg: RNs cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Barrier t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: Heart Rate t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: RU Post Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Arm, Left Upper st: NotStopd id: LLL Lung Sounds t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Oral Cavity t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Not Indicated st: NotStopd id: Position Change t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Precautions t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Stool Color/Consist t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Fecal Incont Bag st: NotStopd id: INV#2 Cap Change t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 10/03/2020] el: 1 ai: 109 cg: RNs cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 10/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [20:00:00 10/03/2020] el: 1 cg: RNs cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 10/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [20:00:00 10/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 10/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: TF Residual t0: [20:00:00 10/03/2020] el: 1 ai: 209 cg: RNs cu: CSRU vo: 120 vu: ml
id: Service Type t0: [21:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [21:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [21:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 73 n1: 73 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 10/03/2020] el: 1 ai: 109 cg: RNs cu: CSRU vo: 3 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 10/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [21:00:00 10/03/2020] el: 1 cg: RNs cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 10/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [21:00:00 10/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 10/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [20:00:00 10/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped id: Insulin t0: [21:00:00 10/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 3 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: ETT Mark/Location t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: BPM st: NotStopd id: Airway Size t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 st: NotStopd id: MDI #1 (Puff/Drug) t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.6 n1: 8.6 u1: L/min st: NotStopd id: PEEP Set t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Ve High t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 952 n1: 952 u1: ml/B st: NotStopd id: Ventilator Mode t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: bath t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: done id: Service Type t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Eye Care t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: HOB t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Position t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Skin Care t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 88 n1: 88 rs: Manual st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 10/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [22:00:00 10/03/2020] el: 1 cg: RNs cu: CSRU vo: 165 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 10/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [22:00:00 10/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 10/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [23:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 10/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [23:00:00 10/03/2020] el: 1 cg: RNs cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 10/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 10 vu: ml
id: Midazolam t0: [23:00:00 10/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Daily Wake Up t0: [00:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: Heart Rate t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: RU Post Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Rash st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Arm, Left Upper st: NotStopd id: LLL Lung Sounds t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Oral Cavity t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Not Indicated st: NotStopd id: Position Change t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Precautions t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Stool Color/Consist t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Fecal Incont Bag st: NotStopd id: INV#2 Cap Change t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Present st: NotStopd
id: Urine Out Foley t0: [00:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 11/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 10 vu: ml
id: Midazolam t0: [00:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [00:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 113 n1: 113 rs: Manual st: NotStopd id: Fingerstick Glucose t0: [23:00:00 10/03/2020] el: 0 cg: RNs cu: CSRU v1: 98 n1: 98 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [00:00:00 11/03/2020] el: 1 ai: 109 cg: RNs cu: CSRU vo: 1.5 vu: ml st: Restart
id: Insulin t0: [00:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [01:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 11/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 10 vu: ml
id: Midazolam t0: [01:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 103 n1: 103 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [01:00:00 11/03/2020] el: 1 ai: 109 cg: RNs cu: CSRU vo: 1.5 vu: ml
id: Insulin t0: [01:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 109 n1: 109 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [02:00:00 11/03/2020] el: 1 ai: 109 cg: RNs cu: CSRU vo: 1.5 vu: ml id: Urine Out Foley t0: [02:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 11/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 10 vu: ml
id: Midazolam t0: [02:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [02:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Fentanyl t0: [00:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [01:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [02:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 10/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [03:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [03:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 88 n1: 88 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [03:00:00 11/03/2020] el: 1 ai: 109 cg: RNs cu: CSRU vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 11/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 11/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 11/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 11/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [03:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 11/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [03:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [03:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 0 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: RSBI (<100) t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 15.3649 n1: 15.3649 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 50 n1: 50 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Low Exhaled Min Vol t0: [21:18:00 10/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 7.5 n1: 7.5 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 15.3649 n1: 15.3649 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.781 n1: 0.781 u1: L st: NotStopd id: Sputum Color/Consist t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 917 n1: 917 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Pain Present t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Daily Wake Up t0: [04:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Pain Location t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Not Indicated st: NotStopd id: Precautions t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: calprevflg t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 11/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 11/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [04:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: CVP t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: RU Post Forearm v2: 18 gauge st: NotStopd id: Activity t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Rash st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Arm, Left Upper st: NotStopd id: LLL Lung Sounds t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Position t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Supine st: NotStopd id: Position t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: RLL Lung Sounds t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Intact st: NotStopd id: Stool Color/Consist t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Fecal Incont Bag st: NotStopd id: INV#2 Cap Change t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [02:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 110 n1: 110 rs: Manual st: NotStopd id: Bowel Sounds t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Very Limited st: NotStopd
id: Urine Out Foley t0: [04:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 160 vu: ml
id: Art.pH t0: [04:28:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.27 n1: 7.27 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:28:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:28:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:28:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 53 n1: 53 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:28:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 88 n1: 88 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:28:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.27 n1: 7.27 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 10.8 n1: 10.8 rs: Final st: NotStopd id: WBC t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 10.8 n1: 10.8 rs: Final st: NotStopd id: Hematocrit t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 25.6 n1: 25.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 329 n1: 329 rs: Final st: NotStopd id: RBC t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.23 n1: 3.23 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 10.8 n1: 10.8 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 11/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [05:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 11/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [05:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [05:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 98 n1: 98 rs: Manual st: NotStopd
id: BUN t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Calcium t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Glucose t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 87 n1: 87 rs: Final st: NotStopd id: Magnesium t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Phosphorous t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5 n1: 5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd id: BUN (6-20) t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 23 n1: 23 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 87 n1: 87 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5 n1: 5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:15:00 11/03/2020] el: 0 cg: 3161 cu: CSRU v1: 139 n1: 139 rs: Final st: NotStopd
id: FiO2 Set t0: [05:15:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd
id: Service Type t0: [06:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [06:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 11/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [06:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 11/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [06:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [06:00:00 11/03/2020] el: 0 cg: RNs cu: CSRU v1: 125 n1: 125 rs: Manual st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [06:00:00 11/03/2020] el: 1 ai: 109 cg: RNs cu: CSRU vo: 1.5 vu: ml st: Restart
id: Insulin t0: [06:00:00 11/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Very Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: GI Guaiac/ph t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Positive v2: 2 n2: 2 st: NotStopd id: GI Intub #1/Site t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: Heart Rate t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: RU Post Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: LLL Lung Sounds t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: NBP t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Oral Cavity t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Position Change t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 11/03/2020] 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 11/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Stool Color/Consist t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: INV#2 Cap Change t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [07:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Fingerstick Glucose t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 rs: Manual st: NotStopd id: Bowel Sounds t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: TF Residual t0: [08:00:00 11/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 35 vu: ml id: Gastric Meds t0: [08:00:00 11/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 160 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [08:00:00 11/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 3 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 11/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 40 vu: ml id: Urine Out Foley t0: [08:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 11/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 24 vu: ml
id: Fentanyl t0: [07:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Insulin t0: [07:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [08:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1.5 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip st: Stopped
id: Sputum Color/Consist t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: ETT Mark/Location t0: [08:32:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:32:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:32:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:32:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: BPM st: NotStopd id: Airway Size t0: [08:32:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:32:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:32:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:32:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [08:32:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [08:32:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:32:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: L/min st: NotStopd id: PEEP Set t0: [08:32:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:32:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:32:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:32:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Tank A psi. t0: [08:32:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 1100 n1: 1100 st: NotStopd id: Tank B psi. t0: [08:32:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [08:32:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 23 n1: 23 st: NotStopd id: Sensitivity-Vent t0: [08:32:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:32:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [08:32:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 1000 n1: 1000 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:32:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:32:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: MDI #1 (Puff/Drug) t0: [08:30:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd
id: Service Type t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 11/03/2020] 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 11/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [09:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 rs: Manual st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 11/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [09:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 11/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml
id: Fentanyl t0: [09:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 11/03/2020] 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 11/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 11/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [10:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 11/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 11 vu: ml
id: Fentanyl t0: [10:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4409572 hi: 10078 t0: [14:00:00 11/03/2020] tf: [10:00:00 12/03/2020] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4409574 hi: 10078 t0: [12:00:00 11/03/2020] tf: [09:00:00 13/03/2020] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours
id: ETT Mark/Location t0: [11:33:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:33:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:33:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:33:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [11:33:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [11:33:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:33:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:33:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [11:33:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Minute Volume(Obser) t0: [11:33:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 9.2 n1: 9.2 u1: L/min st: NotStopd id: PEEP Set t0: [11:33:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:33:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:33:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:33:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 u1: BPM st: NotStopd id: Ve High t0: [11:33:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Sensitivity-Vent t0: [11:33:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:33:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [11:33:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 1400 n1: 1400 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:33:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:33:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Pain Present t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd id: Fingerstick Glucose t0: [11:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 rs: Manual st: NotStopd
id: Fentanyl t0: [11:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4410095 hi: 10078 t0: [14:00:00 11/03/2020] tf: [13:00:00 12/03/2020] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Eye Opening t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GCS Total t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: RU Post Forearm v2: 18 gauge st: NotStopd id: Activity t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Rash st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: LLL Lung Sounds t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Level of Conscious t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [10:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Orientation t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: PressureReduceDevice t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 11/03/2020] 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 11/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: % st: NotStopd id: SpO2 t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Stool Color/Consist t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: INV#2 Cap Change t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Back Care t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [13:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pt./Family Informed t0: [14:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [14:00:00 11/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: TF Residual t0: [12:00:00 11/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 100 vu: ml id: Gastric Meds t0: [12:00:00 11/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 11/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 11/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 11/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 11/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 11/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [12:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [14:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 90 vu: ml id: Urine Out Foley t0: [15:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 11/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 11 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 11/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 11/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 11/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 11/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml
id: Fentanyl t0: [13:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [15:36:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:36:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:36:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:36:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [15:36:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [15:36:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:36:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [15:36:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [15:36:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [15:36:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Minute Volume(Obser) t0: [15:36:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 7.1 n1: 7.1 u1: L/min st: NotStopd id: PEEP Set t0: [15:36:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:36:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [15:36:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [15:36:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Ve High t0: [15:36:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Sensitivity-Vent t0: [15:36:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [15:36:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [15:36:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 1100 n1: 1100 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:36:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [15:36:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Sputum Color/Consist t0: [15:40:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: Blood Tinged v2: Thin st: NotStopd id: Sputum Source/Amt t0: [15:40:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Pain Assess Method t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: Heart Rate t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: RU Post Forearm v2: 18 gauge st: NotStopd id: IV Site Appear #1 t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: LLL Lung Sounds t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Oral Care t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Stool Color/Consist t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: INV#2 Cap Change t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Fingerstick Glucose t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 rs: Manual st: NotStopd id: Bowel Sounds t0: [16:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: TF Residual t0: [16:00:00 11/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 70 vu: ml id: Gastric Meds t0: [16:00:00 11/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 11/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 11/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [16:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 11/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 11 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 11/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 11 vu: ml
id: Fentanyl t0: [15:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: NBP t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 11/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [18:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 11/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 11 vu: ml
id: Fentanyl t0: [17:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [18:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [18:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 1120 n1: 1120 st: NotStopd id: Tank B psi. t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 2060 n1: 2060 st: NotStopd id: Ve High t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 11/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [20:00:00 11/03/2020] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: IV #1 Reason DC'D t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Clotted off st: NotStopd id: Risk for Falls t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 D/C Date t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 10 n2: 10 st: NotStopd id: IV #1 Insert Date t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: RU Post Forearm v2: 18 gauge st: NotStopd id: Activity t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Rash st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: LLL Lung Sounds t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: PressureReduceDevice t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Side Rails t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: INV#2 Cap Change t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [19:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [20:00:00 11/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 135 vu: ml id: Gastric Meds t0: [20:00:00 11/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 100 vu: ml id: GT Flush t0: [20:00:00 11/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 11/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 36 vu: ml id: Urine Out Foley t0: [20:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 11/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 22 vu: ml
id: Fentanyl t0: [19:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [20:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [20:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [20:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [20:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [20:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [20:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [20:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Abdominal Xray st: NotStopd id: Respiratory Rate t0: [20:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [20:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % st: NotStopd id: calprevflg t0: [20:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:30:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:30:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4412009 hi: 10078 t0: [22:00:00 11/03/2020] tf: [21:00:00 12/03/2020] mn: Metoprolol pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [21:20:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:25:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:20:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: CVP t0: [21:25:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [21:20:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:25:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:20:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:25:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:20:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [21:20:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [21:20:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rate t0: [21:25:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:20:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [21:20:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP t0: [21:25:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [21:20:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: NBP Mean t0: [21:25:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [21:20:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [21:25:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:20:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:25:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:20:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:25:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:20:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:25:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:20:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:25:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [21:25:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd id: Respiratory Rate t0: [21:20:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:25:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [21:20:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [21:25:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [21:20:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:25:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 11/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [21:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 11/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 11 vu: ml
id: Fentanyl t0: [21:20:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:25:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:20:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [21:25:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [21:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [21:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [21:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [21:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [21:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [21:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [21:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [21:30:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [21:30:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:30:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: bath t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: done id: Service Type t0: [21:45:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:45:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [21:45:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:45:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:45:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:45:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Eye Care t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rhythm t0: [21:45:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Activity t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [21:45:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [21:45:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: AntiEmbDevice/Status t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Position t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:45:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:45:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:45:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:45:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:45:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:45:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Skin Care t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [21:45:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [21:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [21:45:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Gastric Meds t0: [21:45:00 11/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [21:45:00 11/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 30 vu: ml
id: Fentanyl t0: [21:45:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:45:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 11/03/2020] el: 3 cg: RN cu: CSRU cv: 490 ac: 24 ap: none re: 0
id: Service Type t0: [21:50:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:50:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [21:50:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:50:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:50:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:50:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [21:50:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:50:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [21:50:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [21:50:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [21:50:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:50:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:50:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:50:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:50:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:50:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: SpO2 t0: [21:50:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [21:50:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [21:50:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [22:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:50:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Ectopy Frequency t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rhythm t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 11/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [22:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 33 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 11/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 11 vu: ml
id: Service Type t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [23:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 11/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [23:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 11/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 11 vu: ml
id: Fentanyl t0: [23:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 11/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 11 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 11/03/2020] el: 3 cg: RN cu: CSRU pv: 29 cv: 787 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 11/03/2020] el: 3 cg: RN cu: CSRU pv: 29 cv: 1277 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 11/03/2020] el: 3 cg: RN cu: CSRU pv: 70 cv: 70 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 11/03/2020] el: 3 cg: RN cu: CSRU pv: 70 cv: 1398 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 11/03/2020] el: 3 cg: RN cu: CSRU pv: -41 cv: -121 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 11/03/2020] el: 3 cg: RN cu: CSRU pv: -41 cv: 10832.2 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 11/03/2020] el: 3 cg: RN cu: CSRU pv: -41 cv: -41 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 11/03/2020] el: 3 cg: RN cu: CSRU pv: 70 cv: 1398 ac: 24 ap: none re: 0
id: Pain Present t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Pain Location t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [00:00:00 12/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Management t0: [20:00:00 11/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Precautions t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 12/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [00:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 22 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 11 vu: ml
id: IV #1 Reason DC'D t0: [00:00:00 12/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 D/C Date t0: [00:00:00 12/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #1 t0: [00:00:00 12/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Less Restrict Meas. t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Edema Location/Amt#1 t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: GCS Total t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: IV #1 Insert Date t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: IV #1 Site/Size t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: RU Post Forearm v2: 18 gauge st: NotStopd id: Activity t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: LLL Lung Sounds t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Motor Response t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Oral Care t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Position t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: PressureReduceDevice t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: RLL Lung Sounds t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: INV#2 Cap Change t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Therapeutic Bed t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pt./Family Informed t0: [22:00:00 11/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Fingerstick Glucose t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Fentanyl t0: [00:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [00:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [00:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [01:00:00 12/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 12/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 17 vu: ml id: Urine Out Foley t0: [01:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 33 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [01:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: HOB t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Position t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Therapeutic Bed t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: Diet Type t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Level of Conscious t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Respiratory Pattern t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Urine Source t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [01:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd
id: Nepro 10.0str t0: [01:30:00 12/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml nb: 1
id: Service Type t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 12/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 17 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [02:00:00 12/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [02:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [03:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: ETT Position Change t0: [03:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: Done st: NotStopd id: FiO2 Set t0: [03:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [03:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [03:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [03:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Sputum Color/Consist t0: [03:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Topic #1 t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: GI#1 Tube PlaceCheck t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: Position Change t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [02:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: TF Residual t0: [03:00:00 12/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 12/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 17 vu: ml id: Stool Out Stool t0: [02:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vu: ml id: Urine Out Foley t0: [02:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: Urine Out Foley t0: [03:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 16 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: Nepro 10.0str t0: [03:00:00 12/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml
id: Stool Out Total t0: [23:00:00 12/03/2020] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: none re: 0
id: WBC (4-11,000) t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 12.8 n1: 12.8 rs: Final st: NotStopd id: WBC t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 12.8 n1: 12.8 rs: Final st: NotStopd id: Hematocrit t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 353 n1: 353 rs: Final st: NotStopd id: RBC t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.18 n1: 3.18 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 12.8 n1: 12.8 rs: Final st: NotStopd
id: Calcium t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Glucose t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 103 n1: 103 rs: Final st: NotStopd id: Magnesium t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Phosphorous t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 6.5 n1: 6.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.3 n1: 5.3 rs: Final st: NotStopd id: Sodium t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 103 n1: 103 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 6.5 n1: 6.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.3 n1: 5.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: PainLevel Acceptable t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 12/03/2020] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: Risk for Falls t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Pain Location t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [04:00:00 12/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Pain Type t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Precautions t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: calprevflg t0: [03:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 12/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 17 vu: ml id: Urine Out Foley t0: [04:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [03:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: BUN t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: BUN (6-20) t0: [01:13:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [01:30:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Diet Type t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [01:30:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Intub Site t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [01:30:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [01:30:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [01:30:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Bilious st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity Tolerance t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: LLL Lung Sounds t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: PressureReduceDevice t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: RLL Lung Sounds t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [01:30:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Pattern t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Stool Color/Consist t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: INV#2 Cap Change t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Therapeutic Bed t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [01:30:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Behavior t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [04:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: TF Residual t0: [04:00:00 12/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 120 vu: ml id: Gastric Meds t0: [04:00:00 12/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [04:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 30 vu: ml id: Nepro 10.0str t0: [04:00:00 12/03/2020] el: 1 ai: 168 cg: RN cu: CSRU vo: 10 vu: ml st: Stopped
id: Tube Feeds In Total t0: [23:00:00 12/03/2020] el: 3 cg: RN cu: CSRU cv: 35 ac: 24 ap: none re: 0
id: RSBI (<100) t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 109.091 n1: 109.091 u1: units st: NotStopd id: ETT Mark/Location t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: L/min st: NotStopd id: PEEP Set t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: RSBI (<200) t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 109.091 n1: 109.091 u1: units st: NotStopd id: Resp Rate (Total) t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Ve High t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spon RR (Mech.) t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.11 n1: 0.11 u1: L st: NotStopd id: Tidal Volume (Obser) t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 1007 n1: 1007 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [05:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 12/03/2020] 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 12/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: calprevflg t0: [05:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 12/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 17 vu: ml id: Urine Out Foley t0: [05:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 37 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [05:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Potassium t0: [04:33:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.3 n1: 5.3 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:33:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.3 n1: 5.3 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 rs: Manual st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 12/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 17 vu: ml id: Urine Out Foley t0: [06:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [06:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 165 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4412972 hi: 10078 t0: [08:00:00 12/03/2020] tf: [07:00:00 13/03/2020] mn: Sodium Polystyrene Sulfonate pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Doppler st: NotStopd id: Ectopy Frequency t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: Heart Rate t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Rash st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: LUL Lung Sounds t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 9 n2: 9 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 12/03/2020] 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 12/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RUL Lung Sounds t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Stool Color/Consist t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Golden v2: Loose st: NotStopd id: Stool Guaiac t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: Stool Management t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: INV#2 Cap Change t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 6 n2: 6 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Urine Color/Appear t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [08:00:00 12/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 12/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16.5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 12/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: Urine Out Foley t0: [08:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9.5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml
id: Fentanyl t0: [07:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: L/min st: NotStopd id: PEEP Set t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Ve High t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 800 n1: 800 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:30:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Precautions t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 12/03/2020] 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 12/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [09:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Alarms t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Temp. Site t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Gastric Meds t0: [09:00:00 12/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 180 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 12/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml
pi: 4413530 hi: 10078 t0: [14:00:00 12/03/2020] tf: [16:00:00 12/03/2020] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4413531 hi: 10078 t0: [11:00:00 12/03/2020] tf: [10:00:00 13/03/2020] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 12/03/2020] 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 12/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [10:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [11:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: CVP t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: LLL Lung Sounds t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [08:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 12/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 12/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: Urine Out Foley t0: [10:30:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml
id: ETT Mark/Location t0: [10:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Airway Size t0: [10:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [10:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [10:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Minute Volume(Obser) t0: [10:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: L/min st: NotStopd id: Resp Rate (Total) t0: [10:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: BPM st: NotStopd id: Ventilator Mode t0: [10:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: Pressure Support st: NotStopd id: Ventilator Type t0: [10:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Fingerstick Glucose t0: [11:00:00 12/03/2020] el: 0 cg: CoWork cu: CSRU v1: 157 n1: 157 rs: Manual st: NotStopd
id: Mixed Venous O2 t0: [11:21:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 42 n1: 42 rs: Final st: NotStopd
id: ETT Mark/Location t0: [12:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 10.1 n1: 10.1 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 88 n1: 88 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 475 n1: 475 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Art.pH t0: [11:50:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.29 n1: 7.29 rs: Final st: NotStopd id: Arterial Base Excess t0: [11:50:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [11:50:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Arterial PaCO2 t0: [11:50:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 53 n1: 53 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [11:50:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 54 n1: 54 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [11:50:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.29 n1: 7.29 rs: Final st: NotStopd
id: Lactated Ringers t0: [12:00:00 12/03/2020] el: 2 ai: 106 cg: -1 cu: CSRU vo: 0 st: D/C'd id: Packed RBC's t0: [12:00:00 12/03/2020] el: 1 ai: 336 cg: -1 cu: CSRU vo: 0 st: D/C'd id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 12/03/2020] el: 1 ai: 109 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Doppler st: NotStopd id: Ectopy Frequency t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Family Communication t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: GCS Total t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: LLL Lung Sounds t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 12/03/2020] 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 12/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Sputum Color/Consist t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Golden v2: Loose st: NotStopd id: Stool Management t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [10:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pt./Family Informed t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: TF Residual t0: [12:00:00 12/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 45 vu: ml id: Gastric Meds t0: [12:00:00 12/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 12/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: Urine Out Foley t0: [12:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml
id: Fentanyl t0: [12:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Potassium t0: [11:03:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.1 n1: 5.1 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [11:03:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.1 n1: 5.1 rs: Final st: NotStopd
pi: 4414121 hi: 10078 t0: [20:00:00 12/03/2020] tf: [08:00:00 20/03/2020] mn: Naloxone HCl pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: CVP t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Family Communication t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Family Communication t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Heart Rate t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Nursing Consultation t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Social Services st: NotStopd id: Position Change t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 12/03/2020] 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 12/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: SpO2 t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Sputum Color/Consist t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [13:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 12/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 12/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: Urine Out Foley t0: [14:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 230 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml
id: Fentanyl t0: [13:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [14:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [15:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [15:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Doppler st: NotStopd id: ETT Mark/Location t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [15:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [15:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: PAC's st: NotStopd id: Alarms t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: Airway Size t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: LLL Lung Sounds t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Pain st: NotStopd id: Motor Response t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [15:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Oral Cavity t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0.1 n1: 0.1 v2: 11 n2: 11 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: PressureReduceDevice t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [15:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Stool Color/Consist t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Golden v2: Loose st: NotStopd id: Stool Management t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: INV#2 Cap Change t0: [12:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: Temp. Site t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [16:00:00 12/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 70 vu: ml id: Gastric Meds t0: [16:00:00 12/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 12/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 12/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: Urine Out Foley t0: [16:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml
id: Fentanyl t0: [15:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4414690 hi: 10078 t0: [17:00:00 12/03/2020] tf: [20:00:00 17/03/2020] mn: Calcium Acetate pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID W/MEALS ds: 08, 12, 17 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4414691 hi: 10078 t0: [17:00:00 12/03/2020] tf: [16:00:00 13/03/2020] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4414695 hi: 10078 t0: [20:00:00 12/03/2020] tf: [09:00:00 18/03/2020] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: ETT Mark/Location t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.9 n1: 8.9 u1: L/min st: NotStopd id: PEEP Set t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 1100 n1: 1100 st: NotStopd id: Tank B psi. t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Sensitivity-Vent t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 690 n1: 690 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:56:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: NBP t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [17:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [17:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [17:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [17:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [17:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 12/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml
id: Fentanyl t0: [17:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Precautions t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Gastric Meds t0: [18:00:00 12/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 12/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: Urine Out Foley t0: [18:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml
id: Fentanyl t0: [18:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 12/03/2020] el: 3 cg: RN cu: CSRU cv: 550 ac: 24 ap: none re: 0
pi: 4415267 hi: 10078 t0: [19:00:00 12/03/2020] tf: [20:00:00 17/03/2020] mn: Metoprolol pt: Unit Dose st: Discontinued rt: IV fr: ASDIR di: Ongoing xv: 36 xu: Hours
id: NBP t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd
id: Fingerstick Glucose t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 176 n1: 176 rs: Manual st: NotStopd
id: Service Type t0: [18:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: mmHg st: NotStopd id: CVP t0: [19:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [18:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [19:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rate t0: [19:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [19:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [18:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP t0: [19:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [18:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [18:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [19:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM v2: 140 n2: 140 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM v2: 104 n2: 104 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [18:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd id: Respiratory Rate t0: [18:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [18:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [19:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [18:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [18:45:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [19:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:45:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Temp. Site t0: [18:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [18:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd
id: BUN t0: [17:30:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Chloride t0: [17:30:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [17:30:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Glucose t0: [17:30:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 130 n1: 130 rs: Final st: NotStopd id: Potassium t0: [17:30:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.3 n1: 5.3 rs: Final st: NotStopd id: Sodium t0: [17:30:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd id: BUN (6-20) t0: [17:30:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Carbon Dioxide t0: [17:30:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [17:30:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [17:30:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [17:30:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 130 n1: 130 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [17:30:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.3 n1: 5.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [17:30:00 12/03/2020] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: BPM st: NotStopd id: Abdominal Assessment t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: LLL Lung Sounds t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Oral Cavity t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Management t0: [20:00:00 12/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position Change t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Stool Color/Consist t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Golden v2: Loose st: NotStopd id: Stool Management t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: Temp. Site t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 12/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 32 vu: ml id: Urine Out Foley t0: [20:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 260 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 18 vu: ml
id: Fentanyl t0: [20:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 12/03/2020] el: 3 cg: RN cu: CSRU pv: 25 cv: 617 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 12/03/2020] el: 3 cg: RN cu: CSRU pv: 25 cv: 1202 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 12/03/2020] el: 3 cg: RN cu: CSRU pv: 120 cv: 120 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 12/03/2020] el: 3 cg: RN cu: CSRU pv: 120 cv: 1500 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 12/03/2020] el: 3 cg: RN cu: CSRU pv: -95 cv: -298 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 12/03/2020] el: 3 cg: RN cu: CSRU pv: -95 cv: 10534.2 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 12/03/2020] el: 3 cg: RN cu: CSRU pv: -95 cv: -95 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 12/03/2020] el: 3 cg: RN cu: CSRU pv: 120 cv: 1500 ac: 24 ap: none re: 0
pi: 4415729 hi: 10078 t0: [21:00:00 12/03/2020] tf: [20:00:00 13/03/2020] mn: Sodium Polystyrene Sulfonate pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: ETT Mark/Location t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 7.54 n1: 7.54 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 1100 n1: 1100 st: NotStopd id: Tank B psi. t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 789 n1: 789 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [20:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [20:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [20:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [20:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [20:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [20:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [20:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM v2: 104 n2: 104 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [20:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [20:45:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [20:45:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:45:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: TF Residual t0: [20:00:00 12/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [20:00:00 12/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 30 vu: ml id: GT Flush t0: [20:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 30 vu: ml
id: Service Type t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: NBP t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: INV#2 Cap Change t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 8 n2: 8 st: NotStopd id: calprevflg t0: [21:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 12/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: Urine Out Foley t0: [21:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml
id: Fentanyl t0: [21:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 12/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: Urine Out Foley t0: [22:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml
id: Fentanyl t0: [22:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Gastric Meds t0: [22:00:00 12/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 60 vu: ml id: GT Flush t0: [22:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 12/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: Urine Out Foley t0: [23:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 12/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml
id: Fentanyl t0: [23:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 12/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [00:00:00 13/03/2020] el: 0 cg: CoWker cu: CSRU v1: 157 n1: 157 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: bath t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: bath id: Pain Assess Method t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: ETT Mark/Location t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Intub #1/Site t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Activity Tolerance t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: Airway Size t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: LLL Lung Sounds t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: NBP t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Oral Care t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Pain Management t0: [00:00:00 13/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position Change t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: PressureReduceDevice t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: PressureReduceDevice t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Golden v2: Loose st: NotStopd id: Stool Management t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: INV#2 Cap Change t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Turn t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Back Care t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 13/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: Urine Out Foley t0: [00:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 13/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml
id: Fentanyl t0: [00:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: FiO2 Set t0: [00:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [00:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 7.77 n1: 7.77 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 1100 n1: 1100 st: NotStopd id: Tank B psi. t0: [00:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [00:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 973 n1: 973 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd
id: Service Type t0: [01:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [01:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Gastric Meds t0: [00:00:00 13/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 13/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: Urine Out Foley t0: [01:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 13/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml
id: Fentanyl t0: [01:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [01:43:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.24 n1: 7.24 rs: Final st: NotStopd id: Lactic Acid t0: [01:43:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Potassium t0: [01:43:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.7 n1: 4.7 rs: Final st: NotStopd id: Arterial Base Excess t0: [01:43:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [01:43:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Arterial PaCO2 t0: [01:43:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 63 n1: 63 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [01:43:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 128 n1: 128 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [01:43:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.24 n1: 7.24 rs: Final st: NotStopd id: Ionized Calcium t0: [01:43:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [01:43:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [01:43:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.7 n1: 4.7 rs: Final st: NotStopd
id: Service Type t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 13/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: Urine Out Foley t0: [02:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 13/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml
id: Fentanyl t0: [02:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 35.2941 n1: 35.2941 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: I:E Ratio t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 1:2.9 st: NotStopd id: Airway Size t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.4 n1: 36.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 9.95 n1: 9.95 u1: L/min st: NotStopd id: PEEP Set t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 1100 n1: 1100 st: NotStopd id: Tank B psi. t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Sensitivity-Vent t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 618 n1: 618 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [02:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Position Change t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Reason For Restraint t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Behavior t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Behavior t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [18:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Service Type t0: [03:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 13/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: Urine Out Foley t0: [03:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 13/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml
id: Fentanyl t0: [03:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Edema Location/Amt#1 t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Topic #1 t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: Level of Conscious t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 12/03/2020] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Reason For Restraint t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Verbal Response t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: CVP t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [23:00:00 12/03/2020] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd
id: Service Type t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: ETT Mark/Location t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GI Intub #1/Site t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Heart Rate t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Size t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Level of Conscious t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: NBP t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Orientation t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Precautions t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Temp. Site t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Urine Source t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: calprevflg t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 13/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: Urine Out Foley t0: [04:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 13/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml
id: Fentanyl t0: [04:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Topic #1 t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Care t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GCS Total t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Activity Tolerance t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: LLL Lung Sounds t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Motor Response t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Position Change t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: PressureReduceDevice t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: PressureReduceDevice t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: RLL Lung Sounds t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Stool Color/Consist t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Golden v2: Loose st: NotStopd id: Stool Management t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Therapeutic Bed t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Turn t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Verbal Response t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [02:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Back Care t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Behavior t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 31.5789 n1: 31.5789 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [04:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 1:2.9 st: NotStopd id: Inspired Gas Temp t0: [04:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.1 n1: 36.1 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 10.1 n1: 10.1 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 1100 n1: 1100 st: NotStopd id: Tank B psi. t0: [04:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [04:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 615 n1: 615 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 600 n1: 600 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Waveform-Vent t0: [04:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [05:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cuff Pressure-Airway t0: [20:00:00 12/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Risk for Falls t0: [05:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 13/03/2020] 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 13/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 13/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: Urine Out Foley t0: [05:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 28 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 13/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml
id: Fentanyl t0: [05:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Mixed Venous O2 t0: [04:59:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 46 n1: 46 rs: Final st: NotStopd
id: WBC (4-11,000) t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 16.3 n1: 16.3 rs: Final st: NotStopd id: WBC t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 16.3 n1: 16.3 rs: Final st: NotStopd id: Hematocrit t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 26.8 n1: 26.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 392 n1: 392 rs: Final st: NotStopd id: RBC t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 16.3 n1: 16.3 rs: Final st: NotStopd
id: RSBI (<100) t0: [05:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 19.2926 n1: 19.2926 u1: units st: NotStopd id: ETT Mark/Location t0: [05:45:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: High Insp. Pressure t0: [05:45:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:45:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [05:45:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [05:45:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [05:45:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [05:45:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [05:45:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [05:45:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:45:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 12.7 n1: 12.7 u1: L/min st: NotStopd id: PEEP Set t0: [05:45:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:45:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: RSBI (<200) t0: [05:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 19.2926 n1: 19.2926 u1: units st: NotStopd id: Resp Rate (Total) t0: [05:45:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Tank A psi. t0: [05:45:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 1100 n1: 1100 st: NotStopd id: Tank B psi. t0: [05:45:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [05:45:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Sensitivity-Vent t0: [05:45:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [05:45:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spon RR (Mech.) t0: [05:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [05:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.622 n1: 0.622 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [05:45:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 885 n1: 885 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:45:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [05:45:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [06:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Rate t0: [06:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: calprevflg t0: [06:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [06:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Fentanyl t0: [06:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [06:00:00 13/03/2020] el: 0 cg: CoWker cu: CSRU v1: 137 n1: 137 rs: Manual st: NotStopd
id: BUN t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Calcium t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Glucose t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Magnesium t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Phosphorous t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 6.7 n1: 6.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd id: BUN (6-20) t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 6.7 n1: 6.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:09:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd
id: Art.pH t0: [06:34:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.32 n1: 7.32 rs: Final st: NotStopd id: Lactic Acid t0: [06:34:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 0.91 n1: 0.91 rs: Final st: NotStopd id: Arterial Base Excess t0: [06:34:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: -2 n1: -2 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:34:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:34:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:34:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 61 n1: 61 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:34:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.32 n1: 7.32 rs: Final st: NotStopd id: Ionized Calcium t0: [06:34:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 1.17 n1: 1.17 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [06:34:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 0.91 n1: 0.91 rs: Final st: NotStopd
id: Pressure Support t0: [05:45:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Total PEEP Level t0: [05:45:00 13/03/2020] el: 0 cg: RRT cu: CSRU u1: cmH2O st: NotStopd
id: PEEP Set t0: [07:05:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd
id: Mixed Venous O2 t0: [08:37:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 36 n1: 36 rs: Final st: NotStopd
id: PEEP Set t0: [09:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Pressure Support t0: [09:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd
id: Nitroglycerine-k io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k el: 200 cg: RN cu: CSRU am: 100 du: mcgkgmin rt: IV Drip
pi: 4417117 hi: 10078 t0: [10:00:00 13/03/2020] tf: [13:00:00 27/03/2020] mn: Insulin pt: Unit Dose st: Discontinued rt: SC fr: ASDIR ss: Y di: Ongoing xv: 36 xu: Hours pi: 4417118 hi: 10078 t0: [10:00:00 13/03/2020] tf: [09:00:00 15/03/2020] mn: Nitroglycerin pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [09:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Doppler st: NotStopd id: Ectopy Frequency t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #1 t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Impaired Skin Site#1 t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: LLL Lung Sounds t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: PressureReduceDevice t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 13/03/2020] 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 13/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [09:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Support Systems t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [07:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [08:00:00 13/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 90 vu: ml id: Gastric Meds t0: [08:00:00 13/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 13/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 32 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 13/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 13/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: Urine Out Foley t0: [08:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 13/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 18 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 13/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 13/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml
id: Fentanyl t0: [07:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: CVP t0: [08:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 13/03/2020] 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 13/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 13/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 13/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml
id: Fentanyl t0: [10:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [10:00:00 13/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 0.2 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [10:30:00 13/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 0.4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Color/Consist t0: [11:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [11:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 13/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: Urine Out Foley t0: [10:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 13/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml
id: Service Type t0: [11:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [11:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [11:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:15:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:15:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: calprevflg t0: [11:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [11:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 160 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [11:00:00 13/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 0.4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 9 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: FiO2 Set t0: [11:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 16.8 n1: 16.8 u1: L/min st: NotStopd id: PEEP Set t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Tank A psi. t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 1100 n1: 1100 st: NotStopd id: Tank B psi. t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Sensitivity-Vent t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 722 n1: 722 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [07:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: High Insp. Pressure t0: [11:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 40 n1: 40 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [11:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [11:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 15.5 n1: 15.5 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [11:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 771 n1: 771 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 13/03/2020] el: 0 cg: CoWker cu: CSRU v1: 147 n1: 147 rs: Manual st: NotStopd
id: Urine Out Foley t0: [12:00:00 13/03/2020] el: 1 cg: CoWker cu: CSRU vo: 80 vu: ml
id: Total Hourly Output t0: [23:00:00 13/03/2020] el: 3 cg: RN cu: CSRU pv: 60 cv: 60 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 13/03/2020] el: 3 cg: RN cu: CSRU pv: 60 cv: 998 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 13/03/2020] el: 3 cg: RN cu: CSRU pv: 60 cv: 998 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: ETT Mark/Location t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Guaiac/ph t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: GI Intub #1/Site t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: Airway Size t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: LLL Lung Sounds t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Oral Care t0: [10:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [11:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: PressureReduceDevice t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 13/03/2020] 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 13/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Fecal Incont Bag st: NotStopd id: Support Systems t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 37.8333 n1: 37.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 100.1 n1: 100.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [12:00:00 13/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 65 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 13/03/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [11:00:00 13/03/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 13/03/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 13/03/2020] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml nb: 1 id: GT Flush t0: [12:00:00 13/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 13/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 16 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 13/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 9 vu: ml
id: Fentanyl t0: [12:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [12:00:00 13/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 0.6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 13/03/2020] el: 3 cg: RN cu: CSRU pv: 125.228 cv: 1004.43 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 13/03/2020] el: 3 cg: RN cu: CSRU pv: 125.228 cv: 1224.43 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 13/03/2020] el: 3 cg: RN cu: CSRU cv: 220 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 13/03/2020] el: 3 cg: RN cu: CSRU pv: 65.228 cv: 226.433 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 13/03/2020] el: 3 cg: RN cu: CSRU pv: 65.228 cv: 10760.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 13/03/2020] el: 3 cg: RN cu: CSRU pv: 65.228 cv: 65.228 ac: 1 ap: none re: 0
id: Less Restrict Meas. t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [13:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [13:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [13:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 13/03/2020] 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 13/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [13:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [13:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [13:00:00 13/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 8.406 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 13/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 13/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [13:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [13:00:00 13/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 0.6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [14:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [14:00:00 13/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 0.6 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [12:00:00 13/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 8.4 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [14:00:00 13/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 8.406 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 13/03/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 13/03/2020] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 13/03/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 13/03/2020] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 13/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [14:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 13/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml
id: ETT Mark/Location t0: [15:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [15:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [15:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [15:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [15:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [15:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 16.2 n1: 16.2 u1: L/min st: NotStopd id: PEEP Set t0: [15:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [15:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [15:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [15:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [15:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [15:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Spont) t0: [15:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 794 n1: 794 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [15:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [15:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [15:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [15:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [15:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [16:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [16:24:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 19.7 n1: 19.7 rs: Final st: NotStopd id: WBC t0: [16:24:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 19.7 n1: 19.7 rs: Final st: NotStopd id: Hematocrit t0: [16:24:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 25.3 n1: 25.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [16:24:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [16:24:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 430 n1: 430 rs: Final st: NotStopd id: RBC t0: [16:24:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.17 n1: 3.17 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [16:24:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 19.7 n1: 19.7 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [17:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [17:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [17:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Doppler st: NotStopd id: Ectopy Frequency t0: [17:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Guaiac/ph t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: GI Intub #1/Site t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: HOB t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [17:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: Activity Tolerance t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Imp Skin Cleanse #2 t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Rash st: NotStopd id: ImpSkin Drain/Amt#1 t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [17:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Oral Care t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: PressureReduceDevice t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: PressureReduceDevice t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [17:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Stool Color/Consist t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Support Systems t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Therapeutic Bed t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [17:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Hyperactive st: NotStopd
id: TF Residual t0: [16:00:00 13/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 20 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [15:00:00 13/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 8.406 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [16:00:00 13/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 1.1208 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [17:00:00 13/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 14.01 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 13/03/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 13/03/2020] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 13/03/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 13/03/2020] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 13/03/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 13/03/2020] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [16:00:00 13/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 13/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 13/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 13/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [16:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 13/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 13/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 13/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [17:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [15:00:00 13/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 0.08 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [16:00:00 13/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [17:00:00 13/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: CVP t0: [17:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd
id: BUN t0: [15:40:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Calcium t0: [15:40:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [15:40:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [15:40:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Glucose t0: [15:40:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Magnesium t0: [15:40:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Phosphorous t0: [15:40:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 6.3 n1: 6.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [15:40:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium t0: [15:40:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: BUN (6-20) t0: [15:40:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [15:40:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [15:40:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 24 n1: 24 rs: Final st: NotStopd id: Chloride (100-112) t0: [15:40:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [15:40:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [15:40:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [15:40:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [15:40:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 6.3 n1: 6.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:40:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.4 n1: 4.4 rs: Final st: NotStopd id: Sodium (135-148) t0: [15:40:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd
id: Urine Out Foley t0: [18:00:00 13/03/2020] el: 1 cg: CoWker cu: CSRU vo: 60 vu: ml
id: Less Restrict Meas. t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Fingerstick Glucose t0: [16:00:00 13/03/2020] el: 0 cg: RN cu: CSRU rs: Manual st: NotStopd id: Fingerstick Glucose t0: [17:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 rs: Manual st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [18:00:00 13/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 19.614 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 13/03/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 13/03/2020] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 13/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 13/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [18:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [18:00:00 13/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [20:00:00 13/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 15 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [20:00:00 13/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 39.228 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 13/03/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 13/03/2020] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [20:00:00 13/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 13/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [20:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 13/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 16 vu: ml
id: Fentanyl t0: [20:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [20:00:00 13/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Venous CO2(Calc) t0: [20:37:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 rs: Final st: NotStopd id: Venous PvCO2 t0: [20:37:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 62 n1: 62 u1: mmHg rs: Final st: NotStopd id: Venous PvO2 t0: [20:37:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Venous pH t0: [20:37:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.28 n1: 7.28 u1: pH rs: Final st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Guaiac/ph t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: GI Intub #1/Site t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: LUL Lung Sounds t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: PressureReduceDevice t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RUL Lung Sounds t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: INV#2 Cap Change t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [21:00:00 13/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 19.614 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 13/03/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 13/03/2020] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 13/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [21:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 65 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 13/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [21:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [21:00:00 13/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Topic #1 t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Heart Rate t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Imp Skin Cleanse #2 t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Rash st: NotStopd id: ImpSkin Treatment #1 t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: Impaired Skin Site#2 t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: NBP t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Position Change t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: calprevflg t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [22:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [23:00:00 13/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 39.228 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 13/03/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 13/03/2020] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [22:00:00 13/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 13/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [23:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 13/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 16 vu: ml
id: Fentanyl t0: [22:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [22:00:00 13/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [23:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [23:00:00 13/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 13/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [20:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.65 n1: 8.65 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: 610 n1: 610 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 13/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [00:00:00 14/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 19.614 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 14/03/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 14/03/2020] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 14/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [00:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 14/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [00:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [00:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Art.pH t0: [23:35:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [23:35:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:35:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 25 n1: 25 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:35:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 40 n1: 40 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:35:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 76 n1: 76 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:35:00 13/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.38 n1: 7.38 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 14/03/2020] el: 0 cg: CoWker cu: CSRU v1: 119 n1: 119 rs: Manual st: NotStopd
id: Cuff Pressure-Airway t0: [00:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [00:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 37.8 n1: 37.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [00:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [00:15:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:15:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:15:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:15:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:15:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [00:15:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:15:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [00:15:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [00:15:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [00:15:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:15:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:15:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:15:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:15:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:15:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [00:15:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [00:15:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [00:15:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [00:15:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:15:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [01:30:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [01:30:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:30:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [01:30:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:30:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [01:30:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:30:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP t0: [01:30:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: NBP Mean t0: [01:30:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [01:30:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:30:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:30:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:30:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [01:30:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temp. Site t0: [01:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [01:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Temperature F t0: [01:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: calprevflg t0: [01:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:30:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [01:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [01:30:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [01:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.4 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [01:30:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [01:30:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Topic #1 t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: Impaired Skin Site#2 t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Position Change t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: RLL Lung Sounds t0: [21:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Pt./Family Informed t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pt./Family Informed t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: TF Residual t0: [22:00:00 13/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [02:00:00 14/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 36.426 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 14/03/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 14/03/2020] el: 2 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 14/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [02:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 14/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 16 vu: ml
id: bath t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: done id: Service Type t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Guaiac/ph t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: GI Intub #1/Site t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LUL Lung Sounds t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Oral Care t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: PressureReduceDevice t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RUL Lung Sounds t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Skin Care t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: INV#2 Cap Change t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Therapeutic Bed t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Urine Out Foley t0: [03:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: Fentanyl t0: [02:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [03:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [02:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [03:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 14 n1: 14 rs: Final st: NotStopd id: WBC t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 14 n1: 14 rs: Final st: NotStopd id: Hematocrit t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 20.7 n1: 20.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 6.8 n1: 6.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 371 n1: 371 rs: Final st: NotStopd id: RBC t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.6 n1: 2.6 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 14 n1: 14 rs: Final st: NotStopd
id: BUN t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 102 n1: 102 rs: Final st: NotStopd id: Calcium t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Glucose t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 94 n1: 94 rs: Final st: NotStopd id: Magnesium t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Phosphorous t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.6 n1: 5.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 102 n1: 102 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 94 n1: 94 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.6 n1: 5.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:15:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
id: RSBI (<100) t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 22.9226 n1: 22.9226 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 9.87 n1: 9.87 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: PEEP Set t0: [04:33:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Pressure Support t0: [04:33:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 22.9226 n1: 22.9226 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 21 n1: 21 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.698 n1: 0.698 u1: L st: NotStopd id: Sputum Color/Consist t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 676 n1: 676 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 678 n1: 678 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Oral Care t0: [03:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: PressureReduceDevice t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Color/Consist t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Color/Consist t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [23:00:00 13/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: INV#2 Cap Change t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [04:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: TF Residual t0: [04:00:00 14/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 130 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [05:00:00 14/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 42.03 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 14/03/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 14/03/2020] el: 2 ai: 107 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 14/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 45 vu: ml id: Urine Out Foley t0: [05:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 14/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 24 vu: ml
id: Fentanyl t0: [04:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [05:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [04:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [05:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Hematocrit t0: [05:16:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 23.7 n1: 23.7 u1: % rs: Final st: NotStopd
id: PEEP Set t0: [05:40:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Fingerstick Glucose t0: [06:00:00 14/03/2020] el: 0 cg: CoWker cu: CSRU v1: 96 n1: 96 rs: Manual st: NotStopd
id: Service Type t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [06:00:00 14/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 14.01 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 14/03/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 14/03/2020] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 14/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [06:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 14/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [06:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [06:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [07:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [07:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 14/03/2020] 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 14/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [07:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [07:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [07:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 14/03/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 14/03/2020] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [07:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [07:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [08:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.6 n1: 0.6 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 9.3 n1: 9.3 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [08:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 2500 n1: 2500 st: NotStopd id: Ve High t0: [08:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: . st: NotStopd id: Sensitivity-Vent t0: [08:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 653 n1: 653 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: GT Flush t0: [08:00:00 14/03/2020] el: 1 ai: 338 cg: -1 cu: CSRU vo: 0 st: D/C'd
pi: 4420802 hi: 10078 t0: [10:00:00 16/03/2020] tf: [20:00:00 01/04/2020] mn: Epoetin Alfa pt: IV Piggyback st: Discontinued via patient discharge rt: SC fr: QMOWEFR ds: 10 di: Ongoing xu: Enter on Label
id: Less Restrict Meas. t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [07:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Barrier t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Intub #1/Site t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: Heart Rate t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Level of Conscious t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: NBP t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Pain Management t0: [08:00:00 14/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Position Change t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Support Systems t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: Temp. Site t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Braden Activity t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Problem st: NotStopd id: Braden Mobility t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 14/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [07:00:00 14/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 14.01 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [08:00:00 14/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 14.01 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 14/03/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 14/03/2020] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 14/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 14/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [07:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [08:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 14/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 14/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [08:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [08:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Dorsal PedPulse R/L t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Doppler v2: Weak Palpable st: NotStopd id: Abdominal Assessment t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RLL Lung Sounds t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Bowel Sounds t0: [08:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Service Type t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Education Barrier t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: GCS Total t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: HOB t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Level of Conscious t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Orientation t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Position t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Skin Care t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Therapeutic Bed t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Verbal Response t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [08:00:00 14/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 75 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [09:00:00 14/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 14.01 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 14/03/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 14/03/2020] el: 2 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 14/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 14/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 14/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [09:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [09:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Urine Color/Appear t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [09:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd
id: Urine Out Foley t0: [09:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Less Restrict Meas. t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: PAC's st: NotStopd id: Heart Rate t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 14/03/2020] 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 14/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Support Systems t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: calprevflg t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [10:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [10:00:00 14/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 14.01 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 14/03/2020] el: 1 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 14/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 14/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [10:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [10:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [10:00:00 14/03/2020] el: 2 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
pi: 4421122 hi: 10078 t0: [11:00:00 14/03/2020] tf: [10:00:00 14/03/2020] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4421123 hi: 10078 t0: [11:00:00 14/03/2020] tf: [10:00:00 14/03/2020] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4421145 hi: 10078 t0: [11:00:00 14/03/2020] tf: [10:00:00 15/03/2020] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Urine Out Foley t0: [10:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Service Type t0: [11:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [11:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [11:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [11:00:00 14/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 14.01 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 14/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 14/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [11:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [11:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Stool Management t0: [11:00:00 14/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 14/03/2020] el: 1 ai: 107 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: ETT Mark/Location t0: [11:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [11:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [11:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [11:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 9.7 n1: 9.7 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [11:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 642 n1: 642 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Hematocrit t0: [11:01:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 22.5 n1: 22.5 u1: % rs: Final st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Barrier t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Level of Conscious t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Compress Sleeves v2: Off st: NotStopd id: Position t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: PressureReduceDevice t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Support Systems t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Verbal Response t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: TF Residual t0: [12:00:00 14/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 260 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [12:00:00 14/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 14.01 vu: ml id: Gastric Meds t0: [12:00:00 14/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 14/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [11:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [12:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 14/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [12:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [12:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 14/03/2020] el: 3 cg: RN cu: CSRU cv: 320 ac: 24 ap: none re: 0
id: Dorsal PedPulse R/L t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: LLL Lung Sounds t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RLL Lung Sounds t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd
id: Sputum Color/Consist t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Urine Color/Appear t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd
id: Stool Guaiac t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd
id: Pain Present t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Pain Assess Method t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Pain Management t0: [12:00:00 14/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Skin Color t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Pale st: NotStopd id: Skin Temp/Condition t0: [12:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Diaphoretic st: NotStopd id: Fingerstick Glucose t0: [11:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 rs: Manual st: NotStopd
id: Urine Out Foley t0: [11:30:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 185 vu: ml
id: Service Type t0: [13:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: PAC's st: NotStopd id: Heart Rate t0: [13:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [13:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: NBP t0: [13:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [13:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [13:00:00 14/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 14.01 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 14/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 14/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [13:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [13:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 14/03/2020] el: 3 cg: RN cu: CSRU pv: 98.03 cv: 1220.28 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 14/03/2020] el: 3 cg: RN cu: CSRU pv: 98.03 cv: 1540.28 ac: 24 ap: none re: 0
id: Urine Out Foley t0: [13:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Family Communication t0: [13:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd
id: Urine Out Foley t0: [13:30:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: Less Restrict Meas. t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Barrier t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Heart Rate t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: Impaired Skin Site#2 t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: NBP t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 14/03/2020] 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 14/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: calprevflg t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [14:00:00 14/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 14.01 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 14/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [14:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 220 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 14/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [14:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [14:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Family Communication t0: [14:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Fam Talked to RN st: NotStopd id: Family Communication t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Heart Rate t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [15:00:00 14/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 21 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 14/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [15:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 185 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 14/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [15:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [15:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Eye Care t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: Skin Care t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: GI Prophylaxis t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: Abdominal Assessment t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Level of Conscious t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Respiratory Pattern t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Urine Color/Appear t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Sediment st: NotStopd id: Urine Source t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [15:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: TF Residual t0: [15:00:00 14/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 320 vu: ml id: Gastric Meds t0: [15:00:00 14/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 60 vu: ml
id: ETT Mark/Location t0: [16:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 11.1 n1: 11.1 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: 687 n1: 687 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 14/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Family Communication t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Fam Talked to MD st: NotStopd id: Heart Rate t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: NBP t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Pain Management t0: [16:00:00 14/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Position Change t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Diaphoretic st: NotStopd id: Support Systems t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: calprevflg t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [16:00:00 14/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 21.015 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 14/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 14/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml
id: Fentanyl t0: [16:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 150 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [16:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: AntiEmbDevice/Status t0: [16:00:00 14/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Urine Out Foley t0: [16:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 220 vu: ml
id: Service Type t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Family Communication t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: GI Intub #1/Site t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: Heart Rate t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Rash st: NotStopd id: ImpSkin Drain/Amt#1 t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Drain/Amt#2 t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: ImpSkin Treatment #1 t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Treatment #2 t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Pink st: NotStopd id: Level of Conscious t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: NBP t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Oral Cavity t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Precautions t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Urine Source t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [17:00:00 14/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 21.015 vu: ml
id: Nitroglycerine-k t0: [17:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Eye Opening t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: Abdominal Assessment t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Motor Response t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: RLL Lung Sounds t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Stool Guaiac t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Verbal Response t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Fingerstick Glucose t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 rs: Manual st: NotStopd id: Bowel Sounds t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Urine Out Foley t0: [17:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 185 vu: ml
id: Temperature C (calc) t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [17:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 14/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 14/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [17:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Hematocrit t0: [17:01:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 24.1 n1: 24.1 u1: % rs: Final st: NotStopd
id: Creatinine t0: [17:01:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [17:01:00 14/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Family Communication t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: HOB t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: Impaired Skin Site#2 t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Level of Conscious t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: NBP t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Therapeutic Bed t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [18:00:00 14/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 21.015 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 14/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [18:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 14/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [18:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [18:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [19:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [19:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [19:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [19:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [19:00:00 14/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 21.015 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 14/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [19:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 75 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 14/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [19:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [19:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: 11.8 n1: 11.8 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: 645 n1: 645 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: MDI #1 (Puff/Drug) t0: [20:00:00 14/03/2020] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd
id: Service Type t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: calprevflg t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [20:00:00 14/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 21.015 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 14/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [20:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 65 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 14/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [20:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [20:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Heart Rate t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: Impaired Skin Site#2 t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LUL Lung Sounds t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: NBP t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Oral Cavity t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RUL Lung Sounds t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [21:00:00 14/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 21.015 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 14/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [21:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 14/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [21:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [21:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: TF Residual t0: [21:00:00 14/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 220 vu: ml id: Gastric Meds t0: [21:00:00 14/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 40 vu: ml
id: Service Type t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [23:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [23:00:00 14/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 42.03 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 14/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 36 vu: ml id: Urine Out Foley t0: [23:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 130 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 14/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 20 vu: ml
id: Fentanyl t0: [22:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [23:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [22:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [23:00:00 14/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 14/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 14/03/2020] el: 3 cg: RN cu: CSRU pv: 130 cv: 130 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 14/03/2020] el: 3 cg: RN cu: CSRU pv: 130 cv: 2635 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 14/03/2020] el: 3 cg: RN cu: CSRU pv: -31.97 cv: -1094.72 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 14/03/2020] el: 3 cg: RN cu: CSRU pv: -31.97 cv: 9665.88 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 14/03/2020] el: 3 cg: RN cu: CSRU pv: -31.97 cv: -31.97 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 14/03/2020] el: 3 cg: RN cu: CSRU pv: 130 cv: 2635 ac: 24 ap: none re: 0
id: ETT Mark/Location t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 9.5 n1: 9.5 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 620 n1: 620 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: bath t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: done id: Service Type t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [23:00:00 14/03/2020] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Care t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: HOB t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: Impaired Skin Site#2 t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Oral Care t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: PressureReduceDevice t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [01:00:00 15/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 42.03 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 15/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 36 vu: ml id: Urine Out Foley t0: [01:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 95 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 15/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 20 vu: ml
id: Fentanyl t0: [00:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [01:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [00:00:00 15/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [01:00:00 15/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Alarms t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [21:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: Sputum Color/Consist t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [23:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [23:00:00 14/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: WBC (4-11,000) t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 12.2 n1: 12.2 rs: Final st: NotStopd id: WBC t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 12.2 n1: 12.2 rs: Final st: NotStopd id: Hematocrit t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 21.3 n1: 21.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 6.9 n1: 6.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 395 n1: 395 rs: Final st: NotStopd id: RBC t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.71 n1: 2.71 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 12.2 n1: 12.2 rs: Final st: NotStopd
id: BUN t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 100 n1: 100 rs: Final st: NotStopd id: Calcium t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Glucose t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Magnesium t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: Phosphorous t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.3 n1: 5.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd id: BUN (6-20) t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 100 n1: 100 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.3 n1: 5.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [02:16:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd
id: Service Type t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [03:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [03:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [03:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: NBP t0: [03:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 55 n1: 55 u1: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 57 n1: 57 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [03:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [03:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [04:00:00 15/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 63.045 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 15/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 54 vu: ml id: Urine Out Foley t0: [04:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 105 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 15/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 30 vu: ml
id: Fentanyl t0: [02:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [03:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [04:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [02:00:00 15/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [03:00:00 15/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [04:00:00 15/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Temp. Site t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd
id: RSBI (<100) t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 30.9091 n1: 30.9091 u1: units st: NotStopd id: ETT Mark/Location t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 9.9 n1: 9.9 u1: L/min st: NotStopd id: PEEP Set t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: RSBI (<200) t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 30.9091 n1: 30.9091 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 0.55 n1: 0.55 u1: L st: NotStopd id: Sputum Color/Consist t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Spont) t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 642 n1: 642 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:29:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: MDI #1 (Puff/Drug) t0: [04:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: PEEP Set t0: [04:35:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:35:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd
pi: 4423127 hi: 10078 t0: [06:00:00 15/03/2020] tf: [05:00:00 16/03/2020] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 15/03/2020] 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 15/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [05:00:00 15/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 21.015 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 15/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [05:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 15/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [05:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [05:00:00 15/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Pressure Support t0: [05:26:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: GI Guaiac/ph t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: GI Intub #1/Site t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: Impaired Skin Site#2 t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: NBP t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Oral Cavity t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Position t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: PressureReduceDevice t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: calprevflg t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Activity t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Frict/Shear t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Mobility t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Moisture t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Nutrition t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden Score t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd id: Braden SensoryPercep t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [06:00:00 15/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 16 vu: ml id: TF Residual t0: [02:00:00 15/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 120 vu: ml id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [06:00:00 15/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 21.015 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 15/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [06:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 15/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [06:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [06:00:00 15/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Oral Care t0: [01:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [04:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [07:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 15/03/2020] 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 15/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [07:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [07:00:00 15/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 21.015 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 15/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 15/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [07:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [07:00:00 15/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Ectopy Frequency t0: [07:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [07:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 15/03/2020] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [07:00:00 15/03/2020] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Intub #1/Site t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: NBP t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Pain Management t0: [08:00:00 15/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Position t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: SpO2 t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Guaiac t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Support Systems t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: Temp. Site t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Back Care t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [08:00:00 15/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 21.015 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 15/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [07:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 280 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 15/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [08:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [08:00:00 15/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
io: Vivonex el: 1 cg: RN cu: CSRU lo: PO / NG ra: 10 ru: ml/hr io: Vivonex 999.0str el: 1 cg: RN cu: CSRU lo: PO / NG ra: 10 ru: ml/hr
id: Nepro 10.0str t0: [08:00:00 15/03/2020] el: 1 ai: 168 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: ETT Mark/Location t0: [08:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 9.8 n1: 9.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [08:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [08:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 846 n1: 846 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Education Barrier t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Motor Response t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Cap Change t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Verbal Response t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd
id: D5W 100.0ml t0: [08:00:00 15/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 10 vu: ml id: TF Residual t0: [08:00:00 15/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 130 vu: ml id: Gastric Meds t0: [08:00:00 15/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [08:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 125 vu: ml
id: Riker-SAS Scale t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd
id: Service Type t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: calprevflg t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 rs: Manual st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [09:00:00 15/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 21.015 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 15/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 15/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [09:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Nitroglycerine-k t0: [09:00:00 15/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 1.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Education Barrier t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Family Communication t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd
pi: 4423473 hi: 10078 t0: [10:00:00 15/03/2020] tf: [23:00:00 25/03/2020] mn: HydrALAzine pt: Unit Dose st: Discontinued rt: IV fr: Q6H ds: 10, 16, 22, 4 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4423474 hi: 10078 t0: [14:00:00 15/03/2020] tf: [23:00:00 22/03/2020] mn: Metoclopramide pt: Unit Dose st: Discontinued rt: IV fr: Q6H ds: 2, 8, 14, 20 dn: 4 di: Ongoing xv: 36 xu: Hours pi: 4423475 hi: 10078 t0: [14:00:00 15/03/2020] tf: [23:00:00 22/03/2020] mn: Lactulose pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4423476 hi: 10078 t0: [10:00:00 15/03/2020] tf: [09:00:00 16/03/2020] mn: Lactulose pt: Unit Dose st: Expired rt: PR fr: ONCE MR1 ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Diet Type t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Level of Conscious t0: [09:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd
id: Urine Out Foley t0: [09:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 240 vu: ml
id: Less Restrict Meas. t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 15/03/2020] 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 15/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: calprevflg t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [10:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [10:00:00 15/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vo: 7 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 15/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Nitroglycerine-k t0: [10:00:00 15/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 0.5 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Gastric Meds t0: [10:00:00 15/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [10:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: Service Type t0: [11:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [11:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [11:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [11:00:00 15/03/2020] el: 2 ai: 431 cg: RN cu: CSRU vu: ml st: Stopped id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 15/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Nitroglycerine-k t0: [11:00:00 15/03/2020] el: 2 cg: RN cu: CSRU vo: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Midazolam t0: [11:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Urine Out Foley t0: [11:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 165 vu: ml
id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k t0: [11:01:00 15/03/2020] el: 2 ai: 431 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Care t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [11:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: HOB t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Management t0: [12:00:00 15/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Position t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: PressureReduceDevice t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Radiologic Study t0: [11:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Reason For Restraint t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [08:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: Skin Temp/Condition t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Therapeutic Bed t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 15/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 17 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 15/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 17 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 15/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 17 vu: ml id: Urine Out Foley t0: [12:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 190 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 15/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [10:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [11:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [12:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [12:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.2 n1: 8.2 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 688 n1: 688 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [13:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [13:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [13:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Bilious st: NotStopd id: Heart Rate t0: [13:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [13:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Oral Cavity t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Precautions t0: [13:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 15/03/2020] 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 15/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [13:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Sputum Source/Amt t0: [13:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Stool Guaiac t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Temperature C (calc) t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [13:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: TF Residual t0: [12:00:00 15/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 300 vu: ml id: Gastric Meds t0: [12:00:00 15/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 15/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 17 vu: ml id: Stool Out Stool t0: [12:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vu: ml es: Large id: Urine Out Foley t0: [13:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 15/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [13:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 15/03/2020] el: 3 cg: RNs cu: CSRU pv: 27 cv: 1151.15 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 15/03/2020] el: 3 cg: RNs cu: CSRU pv: 27 cv: 1511.15 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 15/03/2020] el: 3 cg: RNs cu: CSRU cv: 260 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 15/03/2020] el: 3 cg: RN cu: CSRU cv: 225 ac: 24 ap: carryForward re: 0 id: Total Hourly Output t0: [23:00:00 15/03/2020] el: 3 cg: RNs cu: CSRU pv: 10 cv: 10 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 15/03/2020] el: 3 cg: RNs cu: CSRU cv: 100 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 15/03/2020] el: 3 cg: RNs cu: CSRU pv: 10 cv: 2510 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 15/03/2020] el: 3 cg: RNs cu: CSRU pv: 17 cv: -1223.85 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 15/03/2020] el: 3 cg: RNs cu: CSRU pv: 17 cv: 8442.03 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 15/03/2020] el: 3 cg: RNs cu: CSRU pv: 17 cv: 17 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 15/03/2020] el: 3 cg: RNs cu: CSRU pv: 10 cv: 2735 ac: 24 ap: carryForward re: 0
id: Less Restrict Meas. t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: NBP t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 15/03/2020] 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 15/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [12:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: calprevflg t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Braden Activity t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [14:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 15/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 17 vu: ml id: Urine Out Foley t0: [14:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 15/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [14:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 15/03/2020] el: 0 cg: RN cu: CSRU u1: mmHg st: NotStopd id: CVP t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Education Barrier t0: [14:45:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [14:45:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [14:45:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [14:45:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [14:45:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [14:45:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [14:45:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [14:45:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Family Communication t0: [14:45:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Fam Talked to RN st: NotStopd id: Family Communication t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Heart Rate t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 15/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 17 vu: ml id: Urine Out Foley t0: [15:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 15/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [15:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: HOB t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Position t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: Skin Care t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: BUN t0: [14:35:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 95 n1: 95 rs: Final st: NotStopd id: Chloride t0: [14:35:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Glucose t0: [14:35:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 151 n1: 151 rs: Final st: NotStopd id: Potassium t0: [14:35:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [14:35:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [14:35:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 95 n1: 95 rs: Final st: NotStopd id: Carbon Dioxide t0: [14:35:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [14:35:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Glucose (70-105) t0: [14:35:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 151 n1: 151 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [14:35:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [14:35:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
id: Hematocrit t0: [14:35:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 24.7 n1: 24.7 u1: % rs: Final st: NotStopd
id: Stool Out Stool t0: [15:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vu: ml es: Large
id: Urine Out Foley t0: [13:30:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 175 vu: ml
id: Less Restrict Meas. t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Barrier t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: GCS Total t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: Heart Rate t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Arm, Left Upper st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: Level of Conscious t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Oral Care t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Management t0: [16:00:00 15/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Position Change t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Color/Consist t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: Temp. Site t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 15/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 17 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 15/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [16:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Dorsal PedPulse R/L t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: LLL Lung Sounds t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: RLL Lung Sounds t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Sputum Color/Consist t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [16:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: LLL Lung Sounds t0: [16:15:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:15:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [16:15:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:15:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:15:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd
id: ETT Mark/Location t0: [16:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 6.8 n1: 6.8 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: 760 n1: 760 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 15/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [17:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Family Communication t0: [17:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: SocServ Involved st: NotStopd id: Heart Rate t0: [17:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [17:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: NBP t0: [17:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [17:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [17:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 15/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 17 vu: ml id: Urine Out Foley t0: [16:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 105 vu: ml id: Urine Out Foley t0: [17:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 75 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 15/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [17:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: TF Residual t0: [17:00:00 15/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 70 vu: ml id: Gastric Meds t0: [17:00:00 15/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 40 vu: ml
id: Less Restrict Meas. t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: calprevflg t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 15/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 17 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 15/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [18:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [19:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [19:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: HOB t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [19:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [19:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Skin Care t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [19:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [18:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [19:00:00 15/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 15/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 17 vu: ml id: Stool Out Stool t0: [18:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 225 vu: ml id: Urine Out Foley t0: [18:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 75 vu: ml id: Urine Out Foley t0: [19:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 15/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [19:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 15/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [19:00:00 15/03/2020] el: 0 cg: CoWker cu: CSRU v1: 118 n1: 118 rs: Manual st: NotStopd
id: ETT Mark/Location t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 7.8 n1: 7.8 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: 780 n1: 780 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 15/03/2020] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: bath t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: done id: Pain Assess Method t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Barrier t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 3 To speech st: NotStopd id: GCS Total t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Arm, Left Upper st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [20:00:00 15/03/2020] el: 1 cg: RNs cu: CSRU v1: IV Gtt st: NotStopd id: Position t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: PressureReduceDevice t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Warm v2: Dry st: NotStopd id: Stool Color/Consist t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Mushroom Cath st: NotStopd id: INV#2 Cap Change t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: Temp. Site t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 15/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 17 vu: ml id: Urine Out Foley t0: [20:00:00 15/03/2020] el: 1 cg: RNs cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 15/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [20:00:00 15/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 15/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Creatinine t0: [14:35:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [14:35:00 15/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd
id: Service Type t0: [21:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [21:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [21:00:00 15/03/2020] el: 1 ai: 209 cg: RNs cu: CSRU vo: 230 vu: ml id: Gastric Meds t0: [21:00:00 15/03/2020] el: 1 ai: 1109 cg: RNs cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 15/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 17 vu: ml id: Urine Out Foley t0: [21:00:00 15/03/2020] el: 1 cg: RNs cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 15/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [21:00:00 15/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 15/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4424928 hi: 10078 t0: [22:00:00 15/03/2020] tf: [07:00:00 16/03/2020] mn: Metoprolol pt: Unit Dose st: Expired rt: IV fr: ASDIR dt: 3 di: Doses xv: 36 xu: Hours
id: CVP t0: [21:15:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [21:20:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Ectopy Frequency t0: [21:15:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:15:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [21:15:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 133 n1: 133 u1: BPM st: NotStopd id: Heart Rate t0: [21:20:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 129 n1: 129 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:15:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [21:20:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [21:15:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 100 n1: 100 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP t0: [21:20:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [21:15:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: NBP Mean t0: [21:20:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Respiratory Rate t0: [21:15:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:20:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [21:15:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [21:20:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [21:15:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:20:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [21:15:00 15/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:20:00 15/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:15:00 15/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: CVP t0: [21:30:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [21:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Ectopy Frequency t0: [21:30:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [21:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:30:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:30:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 128 n1: 128 u1: BPM st: NotStopd id: Heart Rate t0: [21:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:30:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [21:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [21:30:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 79 n1: 79 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP t0: [21:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [21:30:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 56 n1: 56 u1: mmHg st: NotStopd id: NBP Mean t0: [21:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Respiratory Rate t0: [21:30:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [21:30:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [21:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [21:30:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [21:30:00 15/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [21:45:00 15/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:30:00 15/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [21:45:00 15/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 132 n1: 132 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Atrial Fib st: NotStopd id: NBP t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 84 n1: 84 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [22:00:00 15/03/2020] el: 1 ai: 105 cg: RNs cu: CSRU vo: 250 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 15/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 17 vu: ml id: Urine Out Foley t0: [22:00:00 15/03/2020] el: 1 cg: RNs cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 15/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [22:00:00 15/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 15/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [22:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [22:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [22:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [22:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 6 n1: 6 u1: BPM st: NotStopd id: SpO2 t0: [22:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [22:45:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [22:45:00 15/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:45:00 15/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 6 n1: 6 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [23:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 15/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 17 vu: ml id: Urine Out Foley t0: [23:00:00 15/03/2020] el: 1 cg: RNs cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 15/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [23:00:00 15/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 15/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [00:00:00 16/03/2020] el: 0 cg: CoWker cu: CSRU v1: 133 n1: 133 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [00:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Arm, Left Upper st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Coccyx st: NotStopd id: LLL Lung Sounds t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [00:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU v1: IV Gtt st: NotStopd id: Position t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: PressureReduceDevice t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Stool Color/Consist t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Mushroom Cath st: NotStopd id: INV#2 Cap Change t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: Temperature C (calc) t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 15/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 16/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 17 vu: ml id: Urine Out Foley t0: [00:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 16/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [00:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: 8.1 n1: 8.1 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: 800 n1: 800 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: ETT Position Change t0: [00:00:00 16/03/2020] el: 0 cg: RT cu: CSRU v1: Done st: NotStopd
id: Service Type t0: [01:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [01:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [01:00:00 16/03/2020] el: 1 ai: 209 cg: RNs cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [01:00:00 16/03/2020] el: 1 ai: 1109 cg: RNs cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 16/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 17 vu: ml id: Stool Out Stool t0: [01:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [01:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 16/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [01:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 16/03/2020] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
pi: 4425262 hi: 10078 t0: [02:00:00 16/03/2020] tf: [01:00:00 17/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4425263 hi: 10078 t0: [02:00:00 16/03/2020] tf: [01:00:00 17/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 250 ml NS Bolus 250 ml Over 30 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 16/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 17 vu: ml id: Urine Out Foley t0: [02:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 16/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [02:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: D5W 100.0ml t0: [02:00:00 16/03/2020] el: 1 ai: 105 cg: RNs cu: CSRU vo: 250 vu: ml
id: Service Type t0: [03:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [03:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 16/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 17 vu: ml id: Urine Out Foley t0: [03:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 16/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [03:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Daily Wake Up t0: [04:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Barrier t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: Education Response t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Tolerated Well st: NotStopd id: ImpSkin Character #2 t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Rash st: NotStopd id: ImpSkin Wound Base#2 t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Arm, Left Upper st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Coccyx st: NotStopd id: Level of Conscious t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [04:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU v1: IV Gtt st: NotStopd id: Position t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 11 n2: 11 st: NotStopd id: PressureReduceDevice t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Color/Consist t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Mushroom Cath st: NotStopd id: INV#2 Cap Change t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: Therapeutic Bed t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Braden Activity t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 16/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 17 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 16/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [04:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 9.7 n1: 9.7 rs: Final st: NotStopd id: WBC t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 9.7 n1: 9.7 rs: Final st: NotStopd id: Hematocrit t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 25.7 n1: 25.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.2 n1: 8.2 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 447 n1: 447 rs: Final st: NotStopd id: RBC t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.22 n1: 3.22 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 9.7 n1: 9.7 rs: Final st: NotStopd
id: GI#1 Tube PlaceCheck t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: LLL Lung Sounds t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Clear st: NotStopd id: RLL Lung Sounds t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Coarse st: NotStopd id: Temp. Site t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Bowel Sounds t0: [04:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Present st: NotStopd
id: TF Residual t0: [04:00:00 16/03/2020] el: 1 ai: 209 cg: RNs cu: CSRU vo: 250 vu: ml id: Urine Out Foley t0: [04:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 35 vu: ml
id: RSBI (<100) t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 101.351 n1: 101.351 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 11.9 n1: 11.9 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 101.351 n1: 101.351 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.148 n1: 0.148 u1: L st: NotStopd id: Sputum Color/Consist t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 268 n1: 268 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: BUN t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 95 n1: 95 rs: Final st: NotStopd id: Calcium t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Glucose t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 91 n1: 91 rs: Final st: NotStopd id: Magnesium t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Phosphorous t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.3 n1: 5.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 95 n1: 95 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 91 n1: 91 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 5.3 n1: 5.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:47:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd
id: Tube Feeds In Total t0: [23:00:00 16/03/2020] el: 3 cg: 3161 cu: CSRU cv: 40 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [06:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Service Type t0: [05:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [05:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [05:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Precautions t0: [05:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [05:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [05:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 16/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 17 vu: ml id: Urine Out Foley t0: [05:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 15 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 16/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [05:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [06:00:00 16/03/2020] el: 0 cg: CoWker cu: CSRU v1: MICU st: NotStopd id: CVP t0: [06:00:00 16/03/2020] el: 0 cg: CoWker cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [06:00:00 16/03/2020] el: 0 cg: CoWker cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 16/03/2020] el: 0 cg: CoWker cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 16/03/2020] el: 0 cg: CoWker cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 16/03/2020] el: 0 cg: CoWker cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 16/03/2020] el: 0 cg: CoWker cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 16/03/2020] el: 0 cg: CoWker cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 16/03/2020] el: 0 cg: CoWker cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 16/03/2020] el: 0 cg: CoWker cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 16/03/2020] el: 0 cg: CoWker cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 16/03/2020] el: 0 cg: CoWker cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 16/03/2020] el: 0 cg: CoWker cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 16/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 16/03/2020] el: 0 cg: CoWker cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 16/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 16/03/2020] el: 0 cg: CoWker cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 16/03/2020] el: 0 cg: CoWker cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [06:00:00 16/03/2020] el: 0 cg: CoWker cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 16/03/2020] el: 0 cg: CoWker cu: CSRU v1: 99 n1: 99 rs: Manual st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 16/03/2020] el: 1 ai: 112 cg: CoWker cu: CSRU vo: 17 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 16/03/2020] el: 1 ai: 338 cg: CoWker cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [06:00:00 16/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 16/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Urine Out Foley t0: [06:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 5 vu: ml
id: Imp Skin Cleanse #1 t0: [08:00:00 16/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: Imp Skin Cleanse #2 t0: [08:00:00 16/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Character #1 t0: [08:00:00 16/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Character #2 t0: [08:00:00 16/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Drain/Amt#1 t0: [08:00:00 16/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Drain/Amt#2 t0: [08:00:00 16/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Treatment #1 t0: [08:00:00 16/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Treatment #2 t0: [08:00:00 16/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Wound Base#1 t0: [08:00:00 16/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Wound Base#2 t0: [08:00:00 16/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: ImpSkin Wth/Lth #1 t0: [08:00:00 16/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Less Restrict Meas. t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [07:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Doppler st: NotStopd id: Ectopy Frequency t0: [07:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: Heart Rate t0: [07:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Coccyx st: NotStopd id: LUL Lung Sounds t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Oral Cavity t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Management t0: [08:00:00 16/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position Change t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [07:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 16/03/2020] 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 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RUL Lung Sounds t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [07:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Stool Management t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: INV#2 Cap Change t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: Temp. Site t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 100.0ml t0: [08:00:00 16/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 500 vu: ml id: TF Residual t0: [08:00:00 16/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [07:00:00 16/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 17 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 16/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 17 vu: ml id: Urine Out Foley t0: [08:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 16/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 16/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [07:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 170 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [09:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [09:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [09:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [09:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [09:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [09:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [09:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [09:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [09:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [09:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [09:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.1 n1: 8.1 u1: L/min st: NotStopd id: PEEP Set t0: [09:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [09:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [09:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [09:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Tank A psi. t0: [09:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [09:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 1000 n1: 1000 st: NotStopd id: Ve High t0: [09:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [09:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [09:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [09:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 442 n1: 442 u1: ml/B st: NotStopd id: Ventilator Mode t0: [09:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [09:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [09:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU st: NotStopd id: LLL Lung Sounds t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: NBP t0: [09:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: Respiratory Rate t0: [09:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Skin Integrity t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: calprevflg t0: [09:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Braden Activity t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Gastric Meds t0: [08:00:00 16/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 90 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 16/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 17 vu: ml id: Urine Out Foley t0: [09:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 16/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [09:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Care t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 15 n2: 15 st: NotStopd id: PressureReduceDevice t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 16/03/2020] 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 16/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd id: Pt./Family Informed t0: [10:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 16/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 19 vu: ml id: Urine Out Foley t0: [10:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 16/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml
id: Fentanyl t0: [10:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Lasix io: D5W 100.0ml + 100mghr Lasix el: 100 cg: RN cu: CSRU am: 100 du: mghr rt: IV Drip
pi: 4426073 hi: 10078 t0: [11:00:00 16/03/2020] tf: [09:00:00 18/03/2020] mn: Furosemide pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label pi: 4426074 hi: 10078 t0: [11:00:00 16/03/2020] tf: [12:00:00 18/03/2020] mn: Tacrolimus pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: QAM ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4426075 hi: 10078 t0: [22:00:00 16/03/2020] tf: [12:00:00 18/03/2020] mn: Tacrolimus pt: Unit Dose st: Discontinued rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fentanyl t0: [11:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [11:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [11:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [11:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [11:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 10.7 n1: 10.7 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [11:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [11:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 821 n1: 821 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Doppler st: NotStopd id: ETT Mark/Location t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 24cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Barrier t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Family Communication t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Airway Size t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: LLL Lung Sounds t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Management t0: [12:00:00 16/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 15 n2: 15 st: NotStopd id: PressureReduceDevice t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 16/03/2020] 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 16/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [11:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: Temp. Site t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Ventilator Type t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Drager st: NotStopd id: Verbal Response t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: TF Residual t0: [12:00:00 16/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 190 vu: ml id: Gastric Meds t0: [12:00:00 16/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 16/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 19 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 16/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 19 vu: ml id: Urine Out Foley t0: [12:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 16/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 16/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml
id: Fentanyl t0: [12:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 16/03/2020] el: 3 cg: RNs cu: CSRU pv: 46 cv: 1512 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 16/03/2020] el: 3 cg: RNs cu: CSRU pv: 46 cv: 1802 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 16/03/2020] el: 3 cg: RN cu: CSRU cv: 250 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 16/03/2020] el: 3 cg: RNs cu: CSRU pv: 200 cv: 200 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 16/03/2020] el: 3 cg: RNs cu: CSRU pv: 200 cv: 2018 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 16/03/2020] el: 3 cg: RNs cu: CSRU pv: -154 cv: -216 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 16/03/2020] el: 3 cg: RNs cu: CSRU pv: -154 cv: 8226.03 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 16/03/2020] el: 3 cg: RNs cu: CSRU pv: -154 cv: -154 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 16/03/2020] el: 3 cg: RNs cu: CSRU pv: 200 cv: 2018 ac: 24 ap: carryForward re: 0
id: Fingerstick Glucose t0: [12:00:00 16/03/2020] el: 0 cg: CoWork cu: CSRU v1: 126 n1: 126 rs: Manual st: NotStopd
id: Service Type t0: [12:30:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [13:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [12:30:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:30:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:30:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [13:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [12:30:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [13:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [12:30:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:30:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [12:30:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP t0: [13:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [12:30:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [12:30:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [13:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:30:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:30:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:30:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:30:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:30:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:30:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [12:30:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [13:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [13:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thin st: NotStopd id: Sputum Source/Amt t0: [13:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [12:30:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 16/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 19 vu: ml id: Urine Out Foley t0: [13:30:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 16/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml
id: Fentanyl t0: [12:30:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [13:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [12:30:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Lasix t0: [13:30:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [12:30:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Family Communication t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Heart Rate t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Oral Care t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 16/03/2020] 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 16/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thin st: NotStopd id: Sputum Source/Amt t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:30:00 16/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 28.5 vu: ml id: Urine Out Foley t0: [14:30:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 43 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:30:00 16/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 18 vu: ml
id: Fentanyl t0: [14:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [14:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [15:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [15:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 16/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 9.5 vu: ml id: Urine Out Foley t0: [15:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 16/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [15:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [15:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 13 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [16:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 12.2 n1: 12.2 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 704 n1: 704 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Hematocrit t0: [15:14:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 27.2 n1: 27.2 u1: % rs: Final st: NotStopd
id: BUN t0: [14:56:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 94 n1: 94 rs: Final st: NotStopd id: Calcium t0: [14:56:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [14:56:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [14:56:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Glucose t0: [14:56:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 128 n1: 128 rs: Final st: NotStopd id: Magnesium t0: [14:56:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous t0: [14:56:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.8 n1: 4.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [14:56:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [14:56:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: BUN (6-20) t0: [14:56:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 94 n1: 94 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [14:56:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [14:56:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [14:56:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [14:56:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [14:56:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 128 n1: 128 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [14:56:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [14:56:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.8 n1: 4.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [14:56:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [14:56:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Grimace Scale st: NotStopd id: Service Type t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Doppler st: NotStopd id: Ectopy Frequency t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [15:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Family Communication t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Guaiac/ph t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Positive st: NotStopd id: GI Intub #1/Site t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LUL Lung Sounds t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Oral Care t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Management t0: [16:00:00 16/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 15 n2: 15 st: NotStopd id: PressureReduceDevice t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RUL Lung Sounds t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#2 Cap Change t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: Temp. Site t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [16:00:00 16/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 170 vu: ml id: Gastric Meds t0: [16:00:00 16/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 60 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 16/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 19 vu: ml id: Urine Out Foley t0: [16:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Fentanyl t0: [16:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [16:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Insulin Guideline t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd
id: Service Type t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: calprevflg t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 16/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 19 vu: ml id: Stool Out Stool t0: [17:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vu: ml es: Large id: Urine Out Foley t0: [17:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Fentanyl t0: [17:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [17:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: bath t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: done id: Service Type t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Education Barrier t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioning st: NotStopd id: Education Topic #2 t0: [14:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: HOB t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Oral Care t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [17:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 16/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 19 vu: ml
id: Fentanyl t0: [18:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: CVP t0: [18:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: LLL Lung Sounds t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [16:00:00 16/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd
id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 16/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 16/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 8 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 16/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6 vu: ml
id: Lasix t0: [18:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Urine Out Foley t0: [18:00:00 16/03/2020] el: 1 cg: RN cu: CSRU vo: 230 vu: ml
id: Fingerstick Glucose t0: [20:00:00 16/03/2020] el: 0 cg: CoWker cu: CSRU v1: 143 n1: 143 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [19:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Daily Wake Up t0: [20:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU v1: Agitated st: NotStopd id: GI Prophylaxis t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [19:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [19:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Barrier t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: Education Response t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Clamped st: NotStopd id: Heart Rate t0: [19:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [20:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU v1: IV Gtt st: NotStopd id: Position Change t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Precautions t0: [19:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 15 n2: 15 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [19:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Stool Color/Consist t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Mushroom Cath st: NotStopd id: INV#2 Cap Change t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: Temp. Site t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [19:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 16/03/2020] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 16/03/2020] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 16/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 19 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 16/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 19 vu: ml id: Urine Out Foley t0: [19:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [20:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 180 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 16/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 12 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 16/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 12 vu: ml
id: Fentanyl t0: [19:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [20:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [19:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Lasix t0: [20:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Cuff Pressure-Airway t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 6.7 n1: 6.7 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: 668 n1: 668 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Sputum Color/Consist t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 16/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Service Type t0: [21:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [21:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [21:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [21:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 16/03/2020] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 16/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 19 vu: ml id: Urine Out Foley t0: [21:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 240 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 16/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 12 vu: ml
id: Fentanyl t0: [21:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [21:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 16/03/2020] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 16/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 19 vu: ml id: Urine Out Foley t0: [22:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 210 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 16/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 12 vu: ml
id: Fentanyl t0: [22:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [22:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Potassium t0: [20:07:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [20:07:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [20:07:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [20:07:00 16/03/2020] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: bath t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: done id: Service Type t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: PVC's st: NotStopd id: Eye Care t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: HOB t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Oral Care t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Position t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [23:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [22:00:00 16/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 16/03/2020] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 16/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 19 vu: ml id: Urine Out Foley t0: [23:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 16/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 12 vu: ml
id: Fentanyl t0: [23:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [23:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 16/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [00:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: 113 n1: 113 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Daily Wake Up t0: [00:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU v1: Agitated st: NotStopd id: GI Prophylaxis t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Clamped st: NotStopd id: Heart Rate t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Oral Cavity t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Not Indicated st: NotStopd id: Position Change t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Precautions t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 15 n2: 15 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Stool Color/Consist t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Mushroom Cath st: NotStopd id: INV#2 Cap Change t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: Temp. Site t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Present st: NotStopd
id: TF Residual t0: [20:00:00 16/03/2020] el: 1 ai: 209 cg: RNs cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 17/03/2020] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 17/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 19 vu: ml id: Urine Out Foley t0: [00:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 17/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 12 vu: ml
id: Fentanyl t0: [00:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [00:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [00:00:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 9.3 n1: 9.3 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:00:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:00:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: Blood Tinged v2: Thin st: NotStopd id: Sputum Source/Amt t0: [00:00:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 822 n1: 822 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [01:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [01:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: mmHg st: NotStopd id: Code Status t0: [01:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 17/03/2020] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 17/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 19 vu: ml id: Urine Out Foley t0: [01:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 17/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 12 vu: ml
id: Fentanyl t0: [01:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [01:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 17/03/2020] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [00:00:00 17/03/2020] el: 1 ai: 354 cg: RNs cu: CSRU vo: 5 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [01:00:00 17/03/2020] el: 1 ai: 354 cg: RNs cu: CSRU vo: 5 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [02:00:00 17/03/2020] el: 1 ai: 354 cg: RNs cu: CSRU vo: 5 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [20:00:00 16/03/2020] el: 1 ai: 354 cg: RNs cu: CSRU vo: 5 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [21:00:00 16/03/2020] el: 1 ai: 354 cg: RNs cu: CSRU vo: 5 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [22:00:00 16/03/2020] el: 1 ai: 354 cg: RNs cu: CSRU vo: 5 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [23:00:00 16/03/2020] el: 1 ai: 354 cg: RNs cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 17/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 19 vu: ml id: Urine Out Foley t0: [02:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 150 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 17/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 12 vu: ml
id: Fentanyl t0: [02:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [02:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Eye Care t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: HOB t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Position t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 Person Assist st: NotStopd id: PressureReduceDevice t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Multipodus Boots st: NotStopd id: Therapeutic Bed t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Side to Side st: NotStopd
id: Service Type t0: [03:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [03:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 17/03/2020] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [03:00:00 17/03/2020] el: 1 ai: 354 cg: RNs cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 17/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 19 vu: ml id: Urine Out Foley t0: [03:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 210 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 17/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 12 vu: ml
id: Fentanyl t0: [03:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [03:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: CVP t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Sedated st: NotStopd id: Daily Wake Up t0: [04:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU v1: Agitated st: NotStopd id: GI Prophylaxis t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Barrier t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Medicated st: NotStopd id: Education Handout t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Readiness t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: No st: NotStopd id: Education Response t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Clamped st: NotStopd id: Heart Rate t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Oral Cavity t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Position Change t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Precautions t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 15 n2: 15 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Stool Color/Consist t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Brown v2: Loose st: NotStopd id: Stool Management t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Mushroom Cath st: NotStopd id: INV#2 Cap Change t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: Temp. Site t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 17/03/2020] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [04:00:00 17/03/2020] el: 1 ai: 354 cg: RNs cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 17/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 19 vu: ml id: Urine Out Foley t0: [04:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 17/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 12 vu: ml
id: Fentanyl t0: [04:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [04:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 18.2 n1: 18.2 rs: Final st: NotStopd id: WBC t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 18.2 n1: 18.2 rs: Final st: NotStopd id: Hematocrit t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 26.8 n1: 26.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 477 n1: 477 rs: Final st: NotStopd id: RBC t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.31 n1: 3.31 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 18.2 n1: 18.2 rs: Final st: NotStopd
id: BUN t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 89 n1: 89 rs: Final st: NotStopd id: Calcium t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Glucose t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 92 n1: 92 rs: Final st: NotStopd id: Magnesium t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.7 n1: 4.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd id: BUN (6-20) t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 89 n1: 89 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 92 n1: 92 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.7 n1: 4.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:36:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd
id: ETT Mark/Location t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 7.4 n1: 7.4 u1: L/min st: NotStopd id: PEEP Set t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 9 n1: 9 u1: BPM st: NotStopd id: Ve High t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.752 n1: 0.752 u1: L st: NotStopd id: Sputum Color/Consist t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 870 n1: 870 u1: ml/B st: NotStopd id: Ventilator Type t0: [04:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: None st: NotStopd id: HOB t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Skin Care t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [05:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml + 100mghr Lasix t0: [05:00:00 17/03/2020] el: 1 ai: 354 cg: CoWker cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 17/03/2020] el: 1 ai: 112 cg: CoWker cu: CSRU vo: 19 vu: ml id: Urine Out Foley t0: [05:00:00 17/03/2020] el: 1 cg: CoWker cu: CSRU vo: 210 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 17/03/2020] el: 1 ai: 338 cg: CoWker cu: CSRU vo: 12 vu: ml
id: Fentanyl t0: [05:00:00 17/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [05:00:00 17/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 17/03/2020] el: 1 cg: CoWker cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [06:00:00 17/03/2020] el: 0 cg: CoWker cu: CSRU v1: 127 n1: 127 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 142 n1: 142 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 17/03/2020] el: 0 cg: RNs cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 17/03/2020] el: 3 ai: 107 cg: RNs cu: CSRU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [06:00:00 17/03/2020] el: 1 ai: 354 cg: RNs cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 17/03/2020] el: 1 ai: 112 cg: RNs cu: CSRU vo: 19 vu: ml id: Urine Out Foley t0: [06:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 17/03/2020] el: 1 ai: 338 cg: RNs cu: CSRU vo: 12 vu: ml
id: Fentanyl t0: [06:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [06:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 17/03/2020] el: 1 cg: RNs cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: TF Residual t0: [05:00:00 17/03/2020] el: 1 ai: 209 cg: RNs cu: CSRU vo: 80 vu: ml
pi: 4427872 hi: 10078 t0: [08:00:00 17/03/2020] tf: [07:00:00 18/03/2020] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [07:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [08:00:00 17/03/2020] el: 1 cg: RN cu: CSRU v1: Agitated st: NotStopd id: GI Prophylaxis t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [07:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [07:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [07:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 15 n2: 15 st: NotStopd id: PressureReduceDevice t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 17/03/2020] 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 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [07:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Tan st: NotStopd id: Sputum Source/Amt t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: Temp. Site t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: TF Residual t0: [08:00:00 17/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 17/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [08:00:00 17/03/2020] el: 1 ai: 354 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 17/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 38 vu: ml id: Urine Out Foley t0: [08:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 260 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 17/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 24 vu: ml
id: Fentanyl t0: [07:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 190 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [07:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Lasix t0: [08:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [08:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [08:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 15.1 n1: 15.1 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [08:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [08:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 799 n1: 799 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [09:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Risk for Falls t0: [09:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Sinus Tachy st: NotStopd id: NBP t0: [09:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 159 n1: 159 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Precautions t0: [09:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 17/03/2020] 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 17/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [09:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:00:00 17/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 17/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 17/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [09:00:00 17/03/2020] el: 1 ai: 354 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 17/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 19 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 17/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml
id: Fentanyl t0: [09:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 200 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [09:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 3 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Urine Out Foley t0: [09:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Less Restrict Meas. t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Topic #1 t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Heart Rate t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Position Change t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 17/03/2020] 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 17/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: calprevflg t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 17/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [10:00:00 17/03/2020] el: 1 ai: 354 cg: RN cu: CSRU vo: 3 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 17/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [10:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 17/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml
id: Lasix t0: [10:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Fentanyl t0: [10:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: HOB t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Oral Care t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 17/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [11:00:00 17/03/2020] el: 1 ai: 354 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 17/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [11:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 17/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml
id: Fentanyl t0: [11:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 180 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [11:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [11:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Temp. Site t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 38.0556 n1: 38.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [11:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 100.5 n1: 100.5 u1: Deg. F st: NotStopd
id: Propofol io: N/A 50.0vl + 500mcgkgmin Propofol el: 200 cg: RN cu: CSRU am: 500 du: mcgkgmin rt: IV Drip
pi: 4428614 hi: 10078 t0: [08:00:00 17/03/2020] tf: [17:00:00 17/03/2020] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q 24H ds: 8 dn: 1 dt: 26 di: Hours xv: 36 xu: Hours pi: 4428724 hi: 10078 t0: [12:00:00 17/03/2020] tf: [15:00:00 18/03/2020] mn: Propofol pt: Unit Dose st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4428780 hi: 10078 t0: [12:00:00 17/03/2020] tf: [17:00:00 17/03/2020] mn: Piperacillin-Tazobactam Na pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q6H ds: 12, 18, 0, 6 dn: 4 di: Ongoing xv: 36 xu: Hours
id: FiO2 Set t0: [11:20:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Mean Airway Pressure t0: [11:20:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:20:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 10.9 n1: 10.9 u1: L/min st: NotStopd id: PEEP Set t0: [11:20:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Pressure Support t0: [11:20:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:20:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Tidal Volume (Spont) t0: [11:20:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 873 n1: 873 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:20:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd
id: PEEP Set t0: [11:22:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd
id: Sputum Color/Consist t0: [11:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: High Insp. Pressure t0: [11:20:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:20:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [11:20:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [11:20:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Apnea Time Interval t0: [11:20:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Ve High t0: [11:20:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [11:20:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd
id: BSA t0: [11:49:00 17/03/2020] el: 1033 cg: -1 cu: CSRU v1: 2.21193 n1: 2.21193 u1: m2 id: Admit Wt t0: [11:49:00 17/03/2020] el: 1032 cg: -1 cu: CSRU v1: 93.4 n1: 93.4 u1: kg id: Allergy 1 t0: [11:49:00 17/03/2020] el: 1020 cg: -1 cu: CSRU v1: Penicillins id: Diagnosis/op t0: [11:49:00 17/03/2020] el: 1023 cg: -1 cu: CSRU v1: PNEUMONIA id: Service t0: [11:49:00 17/03/2020] el: 1026 cg: -1 cu: CSRU v1: MED id: Admit Ht t0: [11:49:00 17/03/2020] el: 1034 cg: -1 cu: CSRU v1: 74 n1: 74 u1: inches id: Readmission t0: [11:49:00 17/03/2020] el: 1014 cg: -1 cu: CSRU id: Marital Status t0: [11:49:00 17/03/2020] el: 1006 cg: -1 cu: CSRU v1: M id: Religion t0: [11:49:00 17/03/2020] el: 1000 cg: -1 cu: CSRU v1: OTR id: Allergy 2 t0: [11:49:00 17/03/2020] el: 1021 cg: -1 cu: CSRU id: Ext t0: [11:49:00 17/03/2020] el: 1010 cg: -1 cu: CSRU id: Allergy 3 t0: [11:49:00 17/03/2020] el: 1022 cg: -1 cu: CSRU
id: Less Restrict Meas. t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [12:00:00 17/03/2020] el: 1 cg: RN cu: CSRU v1: Agitated st: NotStopd id: GI Prophylaxis t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Redness st: NotStopd id: Abdominal Assessment t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Oral Cavity t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 15 n2: 15 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 17/03/2020] 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 17/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Stool Color/Consist t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: Turn t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 17/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [12:00:00 17/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 250 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [12:00:00 17/03/2020] el: 1 ai: 354 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 17/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 18 vu: ml id: Urine Out Foley t0: [12:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 17/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Fentanyl t0: [12:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [12:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 2 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [12:00:00 17/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 17/03/2020] el: 3 cg: RN cu: CSRU cv: 400 ac: 24 ap: none re: 0
id: Temp. Site t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 38.2222 n1: 38.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 100.8 n1: 100.8 u1: Deg. F st: NotStopd
id: Fingerstick Glucose t0: [12:00:00 17/03/2020] el: 0 cg: CoWork cu: CSRU v1: 151 n1: 151 rs: Manual st: NotStopd
id: Stool Out Stool t0: [12:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 250 vu: ml
id: Stool Out Total t0: [23:00:00 17/03/2020] el: 3 cg: RN cu: CSRU cv: 250 ac: 24 ap: none re: 0
id: Service Type t0: [13:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [13:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [13:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [13:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 17/03/2020] 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 17/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [13:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 17/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [13:00:00 17/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 11.2 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [13:00:00 17/03/2020] el: 1 ai: 354 cg: RN cu: CSRU vo: 2 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [13:00:00 17/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 17/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [13:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [13:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 4 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [13:00:00 17/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 17/03/2020] el: 3 cg: RN cu: CSRU pv: 78.812 cv: 1323.57 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 17/03/2020] el: 3 cg: RN cu: CSRU pv: 78.812 cv: 1763.57 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 17/03/2020] el: 3 cg: RN cu: CSRU pv: 220 cv: 220 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 17/03/2020] el: 3 cg: RN cu: CSRU pv: 220 cv: 2900 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 17/03/2020] el: 3 cg: RN cu: CSRU pv: -141.188 cv: -1386.43 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 17/03/2020] el: 3 cg: RN cu: CSRU pv: -141.188 cv: 6839.6 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 17/03/2020] el: 3 cg: RN cu: CSRU pv: -141.188 cv: -141.188 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 17/03/2020] el: 3 cg: RN cu: CSRU pv: 220 cv: 3150 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Topic #1 t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Family Communication t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Heart Rate t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Oral Care t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 17/03/2020] 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 17/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: calprevflg t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 17/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [14:00:00 17/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 5.604 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [14:00:00 17/03/2020] el: 1 ai: 354 cg: RN cu: CSRU vo: 4 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [14:00:00 17/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 70 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 17/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [14:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [14:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [14:00:00 17/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: D5W 100.0ml t0: [14:00:00 17/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: TF Residual t0: [14:00:00 17/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 10 vu: ml
id: Service Type t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Code Status t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: HOB t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Oral Care t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Source/Amt t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Therapeutic Bed t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [15:00:00 17/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 17/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [15:00:00 17/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 5.604 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [15:00:00 17/03/2020] el: 1 ai: 354 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [15:00:00 17/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 17/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [15:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Lasix t0: [15:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [15:00:00 17/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Less Restrict Meas. t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [16:00:00 17/03/2020] el: 1 cg: RN cu: CSRU v1: Agitated st: NotStopd id: GI Prophylaxis t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Redness st: NotStopd id: Abdominal Assessment t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Motor Response t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 145 n1: 145 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Oral Cavity t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position Change t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 16 n2: 16 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Management t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: Temp. Site t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: TF Residual t0: [15:00:00 17/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vu: ml id: TF Residual t0: [16:00:00 17/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 40 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 17/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [16:00:00 17/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 5.604 vu: ml id: Gastric Meds t0: [16:00:00 17/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [16:00:00 17/03/2020] el: 1 ai: 354 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [16:00:00 17/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 17/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 5 vu: ml
id: Fentanyl t0: [16:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Lasix t0: [16:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped id: Propofol t0: [16:00:00 17/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Aggitation t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: Mod rigid/restle st: NotStopd id: Anxiety t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: Mod anxiety st: NotStopd id: Ataxia t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: No st: NotStopd id: Auditory Disturbance t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: Not present st: NotStopd id: CIWA Sum Total t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 19 n1: 19 u1: sum st: NotStopd id: Drowsiness t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: Yes st: NotStopd id: Headache t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: Not present st: NotStopd id: Insomnia t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: Yes st: NotStopd id: Nausea and Vomiting t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: Disorien per/pla st: NotStopd id: Paroxysmal Sweats t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: .. st: NotStopd id: Seizure t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: No st: NotStopd id: Slurred Speech t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: No st: NotStopd id: Sustained Nystamus t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: No st: NotStopd id: Tactile Disturbances t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: Mod/Sev hallucin st: NotStopd id: Tremor t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: Not visible st: NotStopd id: Visual Disturbances t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: None st: NotStopd
id: Service Type t0: [17:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Precautions t0: [17:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [17:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 17/03/2020] el: 3 ai: 107 cg: RT cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [17:00:00 17/03/2020] el: 2 ai: 126 cg: RT cu: CSRU vo: 5.604 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [17:00:00 17/03/2020] el: 1 ai: 354 cg: RT cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [17:00:00 17/03/2020] el: 1 ai: 112 cg: RT cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 17/03/2020] el: 1 cg: RT cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 17/03/2020] el: 1 ai: 338 cg: RT cu: CSRU vo: 5 vu: ml
id: Lasix t0: [17:00:00 17/03/2020] el: 1 cg: RT cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Propofol t0: [17:00:00 17/03/2020] el: 2 cg: RT cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: ETT Mark/Location t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 8.7 n1: 8.7 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 677 n1: 677 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: BUN t0: [14:29:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 87 n1: 87 rs: Final st: NotStopd id: Chloride t0: [14:29:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [14:29:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Glucose t0: [14:29:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 122 n1: 122 rs: Final st: NotStopd id: Magnesium t0: [14:29:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Potassium t0: [14:29:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [14:29:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [14:29:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 87 n1: 87 rs: Final st: NotStopd id: Carbon Dioxide t0: [14:29:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [14:29:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [14:29:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [14:29:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 122 n1: 122 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [14:29:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [14:29:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [14:29:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
pi: 4430047 hi: 10078 t0: [18:00:00 17/03/2020] tf: [00:00:00 25/03/2020] mn: Piperacillin-Tazobactam Na pt: IV Piggyback st: Discontinued rt: IV fr: Q6H ds: 12, 18, 0, 6 dn: 4 dt: 8 di: Days xv: 36 xu: Hours pi: 4430048 hi: 10078 t0: [08:00:00 17/03/2020] tf: [12:00:00 23/03/2020] mn: Vancomycin HCl pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q 24H ds: 8 dn: 1 dt: 8 di: Days xv: 36 xu: Hours
id: Riker-SAS Scale t0: [17:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Aggitation t0: [17:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: > Norm activity st: NotStopd id: Anxiety t0: [17:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: ... st: NotStopd id: Auditory Disturbance t0: [17:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: CIWA Sum Total t0: [17:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: sum st: NotStopd id: Headache t0: [17:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: Nausea and Vomiting t0: [17:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [17:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Disorien per/pla st: NotStopd id: Paroxysmal Sweats t0: [17:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Palms moist st: NotStopd id: Tactile Disturbances t0: [17:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Tremor t0: [17:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Not visible st: NotStopd id: Visual Disturbances t0: [17:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd
id: Art.pH t0: [17:00:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd id: Arterial Base Excess t0: [17:00:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:00:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:00:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 53 n1: 53 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:00:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 86 n1: 86 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:00:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Topic #1 t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: HOB t0: [17:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [17:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Fair st: NotStopd id: NBP t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Oral Care t0: [17:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [17:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [17:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [17:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [17:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: calprevflg t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 17/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [18:00:00 17/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 5.604 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [18:00:00 17/03/2020] el: 1 ai: 354 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 17/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Stool Out Stool t0: [18:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [18:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 17/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 5 vu: ml
id: Lasix t0: [18:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Propofol t0: [18:00:00 17/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 12 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Fingerstick Glucose t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 161 n1: 161 rs: Manual st: NotStopd
id: TF Residual t0: [18:00:00 17/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 90 vu: ml
id: ETT Mark/Location t0: [18:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [18:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [18:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [18:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [18:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [18:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [18:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [18:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [18:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [18:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [18:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 14.9 n1: 14.9 u1: L/min st: NotStopd id: PEEP Set t0: [18:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [18:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [18:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [18:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Ve High t0: [18:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [18:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [18:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: 932 n1: 932 u1: ml/B st: NotStopd id: Ventilator Type t0: [18:00:00 17/03/2020] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
pi: 4430273 hi: 10078 t0: [19:00:00 17/03/2020] tf: [14:00:00 19/03/2020] mn: Lorazepam pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Aggitation t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Mod rigid/restle st: NotStopd id: Anxiety t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Mod anxiety st: NotStopd id: Auditory Disturbance t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: CIWA Sum Total t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: sum st: NotStopd id: Headache t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: Nausea and Vomiting t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Disorien per/pla st: NotStopd id: Paroxysmal Sweats t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: .. st: NotStopd id: Tactile Disturbances t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Moderate st: NotStopd id: Tremor t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Not visible st: NotStopd id: Visual Disturbances t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 148 n1: 148 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Pain Management t0: [19:00:00 17/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Precautions t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: calprevflg t0: [19:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 17/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [19:00:00 17/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 6.7248 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [19:00:00 17/03/2020] el: 1 ai: 354 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [19:00:00 17/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [19:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [19:00:00 17/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 5 vu: ml
id: Lasix t0: [19:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Propofol t0: [19:00:00 17/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Tube Feeds In Total t0: [23:00:00 17/03/2020] el: 3 cg: RN cu: CSRU cv: 40 ac: 24 ap: none re: 0
id: Cuff Pressure-Airway t0: [19:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: ETT Mark/Location t0: [19:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [19:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [19:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [19:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [19:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 12.3 n1: 12.3 u1: L/min st: NotStopd id: Apnea Time Interval t0: [19:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [19:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [19:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [19:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [19:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Ve High t0: [19:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [19:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [19:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: 701 n1: 701 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [19:30:00 17/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Daily Wake Up t0: [20:00:00 17/03/2020] el: 1 cg: RN cu: CSRU v1: Agitated st: NotStopd id: GI Prophylaxis t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: Heart Rate t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Redness st: NotStopd id: Abdominal Assessment t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Motor Response t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Oral Cavity t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [20:00:00 17/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position Change t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 16 n2: 16 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Management t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: Temp. Site t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd id: Pt./Family Informed t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [20:00:00 17/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 17/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [20:00:00 17/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 8.406 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [20:00:00 17/03/2020] el: 1 ai: 354 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 17/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 17/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 5 vu: ml
id: Lasix t0: [20:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Propofol t0: [20:00:00 17/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Urine Out Foley t0: [20:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
pi: 4430895 hi: 10078 t0: [17:00:00 17/03/2020] tf: [09:00:00 18/03/2020] 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
id: Gastric Meds t0: [20:00:00 17/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 40 vu: ml
id: Sputum Color/Consist t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Color/Consist t0: [20:45:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [20:45:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Copious st: NotStopd
id: Service Type t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 17/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [21:00:00 17/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 8.406 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [21:00:00 17/03/2020] el: 1 ai: 354 cg: RN cu: CSRU vo: 6 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 17/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 130 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 17/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 5 vu: ml
id: Lasix t0: [21:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Propofol t0: [21:00:00 17/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Aggitation t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: > Norm activity st: NotStopd id: Anxiety t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: .. st: NotStopd id: Ataxia t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Auditory Disturbance t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: CIWA Sum Total t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: sum st: NotStopd id: Drowsiness t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Headache t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: Insomnia t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Nausea and Vomiting t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: ? date > 2 days st: NotStopd id: Paroxysmal Sweats t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Palms moist st: NotStopd id: Seizure t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Slurred Speech t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Sustained Nystamus t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Tactile Disturbances t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Tremor t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Not visible st: NotStopd id: Visual Disturbances t0: [21:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd
id: Service Type t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lasix t0: [22:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Propofol t0: [22:00:00 17/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Art.pH t0: [21:53:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd id: Arterial Base Excess t0: [21:53:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [21:53:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 rs: Final st: NotStopd id: Arterial PaCO2 t0: [21:53:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 56 n1: 56 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [21:53:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 83 n1: 83 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [21:53:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.35 n1: 7.35 rs: Final st: NotStopd
id: Pain Present t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: bath t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done id: Pain Assess Method t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Aggitation t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: > Norm activity st: NotStopd id: Anxiety t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Mildly anxious st: NotStopd id: Ataxia t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Auditory Disturbance t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: CIWA Sum Total t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: sum st: NotStopd id: Daily Wake Up t0: [23:00:00 17/03/2020] el: 1 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Drowsiness t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Headache t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: Insomnia t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Nausea and Vomiting t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: ? date > 2 days st: NotStopd id: Paroxysmal Sweats t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Palms moist st: NotStopd id: Seizure t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Slurred Speech t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Sustained Nystamus t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Tactile Disturbances t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Tremor t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No Tremor st: NotStopd id: Visual Disturbances t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Eye Care t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: points st: NotStopd id: HOB t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Level of Conscious t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Motor Response t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Orientation t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [23:00:00 17/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Push st: NotStopd id: Pain Type t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: PressureReduceDevice t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Skin Care t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Care t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Color/Consist t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Frothy st: NotStopd id: Sputum Source/Amt t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Therapeutic Bed t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Verbal Response t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [23:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 17/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [23:00:00 17/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 16.812 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [23:00:00 17/03/2020] el: 1 ai: 354 cg: RN cu: CSRU vo: 12 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 17/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [23:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 220 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 17/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 10 vu: ml
id: Lasix t0: [23:00:00 17/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Propofol t0: [23:00:00 17/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: D5W 100.0ml t0: [20:00:00 17/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: ETT Mark/Location t0: [00:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: PEEP Set t0: [00:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Ve High t0: [00:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Ventilator Mode t0: [00:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Minute Volume(Obser) t0: [00:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 12.9 n1: 12.9 u1: L/min st: NotStopd id: Resp Rate (Total) t0: [00:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 745 n1: 745 u1: ml/B st: NotStopd
id: BUN t0: [23:49:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 85 n1: 85 rs: Final st: NotStopd id: Calcium t0: [23:49:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [23:49:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine t0: [23:49:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Glucose t0: [23:49:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 93 n1: 93 rs: Final st: NotStopd id: Magnesium t0: [23:49:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [23:49:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [23:49:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [23:49:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd id: BUN (6-20) t0: [23:49:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 85 n1: 85 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [23:49:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [23:49:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 rs: Final st: NotStopd id: Chloride (100-112) t0: [23:49:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [23:49:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [23:49:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 93 n1: 93 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [23:49:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [23:49:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [23:49:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [23:49:00 17/03/2020] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU st: NotStopd id: Riker-SAS Scale t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU st: NotStopd id: GI Prophylaxis t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Edema Location/Amt#1 t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Bilious st: NotStopd id: Heart Rate t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Redness st: NotStopd id: Abdominal Assessment t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Motor Response t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Oral Cavity t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position Change t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 16 n2: 16 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: Support Systems t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: Temp. Site t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Restless st: NotStopd id: Pt./Family Informed t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 17/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [00:00:00 18/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 18/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 18/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [00:00:00 18/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 8.406 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [01:00:00 18/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 8.406 vu: ml id: Gastric Meds t0: [00:00:00 18/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 200 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [00:00:00 18/03/2020] el: 1 ai: 354 cg: RN cu: CSRU vo: 6 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [01:00:00 18/03/2020] el: 1 ai: 354 cg: RN cu: CSRU vo: 6 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 18/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 18/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: Urine Out Foley t0: [01:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 18/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 5 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 18/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 5 vu: ml
id: Lasix t0: [00:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Lasix t0: [01:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Propofol t0: [00:00:00 18/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [01:00:00 18/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Sputum Color/Consist t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: Service Type t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: HOB t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Oral Care t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Skin Care t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [01:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 18/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [02:00:00 18/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 11.208 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [02:00:00 18/03/2020] el: 1 ai: 354 cg: RN cu: CSRU vo: 6 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 18/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 18/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 5 vu: ml
id: Lasix t0: [02:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Propofol t0: [02:00:00 18/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [03:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [03:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 18/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [03:00:00 18/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 11.208 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [03:00:00 18/03/2020] el: 1 ai: 354 cg: RN cu: CSRU vo: 6 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 18/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 18/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 5 vu: ml
id: Lasix t0: [03:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Propofol t0: [03:00:00 18/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Aggitation t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: > Norm activity st: NotStopd id: Anxiety t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Mildly anxious st: NotStopd id: Ataxia t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Auditory Disturbance t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: CIWA Sum Total t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: sum st: NotStopd id: Daily Wake Up t0: [04:00:00 18/03/2020] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: Drowsiness t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GI Prophylaxis t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Headache t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: Insomnia t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Nausea and Vomiting t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: ? date > 2 days st: NotStopd id: Paroxysmal Sweats t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Palms moist st: NotStopd id: Seizure t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Slurred Speech t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Sustained Nystamus t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Tactile Disturbances t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Tremor t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No Tremor st: NotStopd id: Visual Disturbances t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Type t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Eye Care t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Bilious st: NotStopd id: HOB t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Redness st: NotStopd id: Abdominal Assessment t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: INV#2 WaveformAppear t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sharp st: NotStopd id: Activity t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Exp Wheeze st: NotStopd id: LUL Lung Sounds t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 16 n2: 16 st: NotStopd id: PressureReduceDevice t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Color/Consist t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Sputum Source/Amt t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: Temp. Site t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [02:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [04:00:00 18/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 18/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [04:00:00 18/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 11.208 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [04:00:00 18/03/2020] el: 1 ai: 354 cg: RN cu: CSRU vo: 6 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 18/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Stool Out Stool t0: [04:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Urine Out Foley t0: [04:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 18/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 5 vu: ml
id: Lasix t0: [04:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Propofol t0: [04:00:00 18/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Gastric Meds t0: [04:00:00 18/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 200 vu: ml
id: Tube Feeds In Total t0: [23:00:00 18/03/2020] el: 3 cg: RN cu: CSRU pv: 10 cv: 110 ac: 24 ap: none re: 0
id: RSBI (<100) t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 73.6842 n1: 73.6842 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 12.5 n1: 12.5 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 12 n1: 12 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 73.6842 n1: 73.6842 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.38 n1: 0.38 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 565 n1: 565 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 rs: Manual st: NotStopd
id: WBC (4-11,000) t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: WBC t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd id: Hematocrit t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 25.5 n1: 25.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 450 n1: 450 rs: Final st: NotStopd id: RBC t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.17 n1: 3.17 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 18 n1: 18 rs: Final st: NotStopd
pi: 4431847 hi: 10078 t0: [06:00:00 18/03/2020] tf: [05:00:00 19/03/2020] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [05:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [05:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [05:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [05:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [05:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 18/03/2020] 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 18/03/2020] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 18/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [05:00:00 18/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 11.208 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [05:00:00 18/03/2020] el: 1 ai: 354 cg: RN cu: CSRU vo: 6 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 18/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [05:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 18/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 5 vu: ml
id: Lasix t0: [05:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Propofol t0: [05:00:00 18/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: BUN t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 84 n1: 84 rs: Final st: NotStopd id: Calcium t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Glucose t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 rs: Final st: NotStopd id: Magnesium t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd id: BUN (6-20) t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 84 n1: 84 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 30 n1: 30 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 109 n1: 109 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 97 n1: 97 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:56:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 148 n1: 148 rs: Final st: NotStopd
id: D5W 100.0ml t0: [04:00:00 18/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [05:00:00 18/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: MDI #1 (Puff/Drug) t0: [04:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd
pi: 4431886 hi: 10078 t0: [07:00:00 18/03/2020] tf: [06:00:00 19/03/2020] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lasix t0: [06:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Propofol t0: [06:00:00 18/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: ETT Mark/Location t0: [06:30:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [06:30:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Airway Size t0: [06:30:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [06:30:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Intubation Date t0: [06:30:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Sputum Color/Consist t0: [06:30:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [06:30:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Small st: NotStopd
id: Service Type t0: [06:30:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:30:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:30:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [06:30:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: NBP t0: [06:30:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [06:30:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [06:30:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:30:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:30:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:30:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:30:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:30:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:30:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [06:30:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:30:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:30:00 18/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [06:30:00 18/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 16.812 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [06:30:00 18/03/2020] el: 1 ai: 354 cg: RN cu: CSRU vo: 9 vu: ml st: Stopped id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:30:00 18/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [06:30:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:30:00 18/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 7.5 vu: ml
id: Lasix t0: [06:30:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: D5W sv: 100 su: ml rt: IV Drip st: Stopped id: Propofol t0: [06:30:00 18/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Fingerstick Glucose t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 rs: Manual st: NotStopd
id: Service Type t0: [07:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [07:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [07:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [07:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 18/03/2020] 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 18/03/2020] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [07:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [07:00:00 18/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: ETT Mark/Location t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 13.4 n1: 13.4 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 16 n1: 16 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 2400 n1: 2400 st: NotStopd id: Ve High t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 467 n1: 467 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd
id: Art.pH t0: [07:59:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Arterial Base Excess t0: [07:59:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 6 n1: 6 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [07:59:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 rs: Final st: NotStopd id: Arterial PaCO2 t0: [07:59:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 52 n1: 52 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [07:59:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 116 n1: 116 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [07:59:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.4 n1: 7.4 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Aggitation t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: > Norm activity st: NotStopd id: Anxiety t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Mildly anxious st: NotStopd id: Auditory Disturbance t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: CIWA Sum Total t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: sum st: NotStopd id: Daily Wake Up t0: [08:00:00 18/03/2020] el: 1 cg: RN cu: CSRU v1: Unstbl Vent Stat st: NotStopd id: GI Prophylaxis t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Headache t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: Nausea and Vomiting t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Disorien per/pla st: NotStopd id: Paroxysmal Sweats t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Beads/ forehead st: NotStopd id: Tactile Disturbances t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Tremor t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No Tremor st: NotStopd id: Visual Disturbances t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Redness st: NotStopd id: Abdominal Assessment t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 16 n2: 16 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Hot v2: Dry st: NotStopd id: Stool Color/Consist t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#2 Cap Change t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: Temp. Site t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [06:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: TF Residual t0: [08:00:00 18/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 18/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 15 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [08:00:00 18/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 16.812 vu: ml id: Gastric Meds t0: [08:00:00 18/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 18/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 15 vu: ml st: Stopped id: Urine Out Foley t0: [08:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 250 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 18/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 7.5 vu: ml st: Stopped
id: Propofol t0: [08:00:00 18/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Service Type t0: [09:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [09:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [09:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [09:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [09:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Precautions t0: [09:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 18/03/2020] 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 18/03/2020] el: 0 cg: RN cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [09:00:00 18/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 18/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [09:00:00 18/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 11.208 vu: ml id: Urine Out Foley t0: [09:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Propofol t0: [09:00:00 18/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: ETT Mark/Location t0: [09:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [09:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: I:E Ratio t0: [09:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 1:4.0 st: NotStopd id: Airway Size t0: [09:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [09:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [09:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [09:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Mean Airway Pressure t0: [09:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [09:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 12 n1: 12 u1: L/min st: NotStopd id: Peak Insp. Pressure t0: [09:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Pressure Support t0: [09:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 0 n1: 0 u1: . st: NotStopd id: Sensitivity-Vent t0: [09:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [09:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [09:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [09:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Compliance (40-60ml) t0: [09:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 21.1538 n1: 21.1538 u1: ml/cmH st: NotStopd id: PEEP Set t0: [09:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [09:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [09:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [09:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tidal Volume (Obser) t0: [09:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 552 n1: 552 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [09:00:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd
pi: 4432099 hi: 10078 t0: [10:00:00 18/03/2020] tf: [20:00:00 01/04/2020] mn: Acetaminophen pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4432100 hi: 10078 t0: [14:00:00 18/03/2020] tf: [20:00:00 01/04/2020] mn: Metoprolol pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4432101 hi: 10078 t0: [10:00:00 18/03/2020] tf: [11:00:00 21/03/2020] mn: Thiamine HCl pt: Unit Dose st: Discontinued rt: IV fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4432102 hi: 10078 t0: [10:00:00 18/03/2020] tf: [14:00:00 19/03/2020] mn: Haloperidol pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Topic #1 t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Family Communication t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Heart Rate t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Position Change t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Line Placement st: NotStopd id: Reason For Restraint t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: calprevflg t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [10:00:00 18/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 18/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [10:00:00 18/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 11.208 vu: ml id: Urine Out Foley t0: [10:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Propofol t0: [10:00:00 18/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: bath t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: done id: Service Type t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: mmHg st: NotStopd id: Code Status t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Very Sedated st: NotStopd id: Risk for Falls t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Eye Care t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Oral Care t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: EKG st: NotStopd id: Radiologic Study t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: XRAY st: NotStopd id: Respiratory Rate t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Skin Care t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Temp. Site t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temp. Site t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 38 n1: 38 u1: Deg. C st: NotStopd id: Temperature F t0: [10:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: Temperature F t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 100.4 n1: 100.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [11:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [11:00:00 18/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 18/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [11:00:00 18/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 11.208 vu: ml id: Gastric Meds t0: [11:00:00 18/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 150 vu: ml id: Stool Out Stool t0: [11:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vu: ml es: Medium id: Urine Out Foley t0: [11:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: Propofol t0: [11:00:00 18/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 18/03/2020] el: 3 cg: RN cu: CSRU cv: 1150 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 18/03/2020] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: carryForward re: 0
id: Compliance (40-60ml) t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 25 n1: 25 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: I:E Ratio t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 1:3.3 st: NotStopd id: Airway Size t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 10.9 n1: 10.9 u1: L/min st: NotStopd id: PEEP Set t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 572 n1: 572 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:20:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Very Sedated st: NotStopd id: Aggitation t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: > Norm activity st: NotStopd id: Anxiety t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No anxiety st: NotStopd id: Ataxia t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Auditory Disturbance t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: CIWA Sum Total t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: sum st: NotStopd id: Daily Wake Up t0: [12:00:00 18/03/2020] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: Drowsiness t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Headache t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: Insomnia t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Nausea and Vomiting t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Disorien per/pla st: NotStopd id: Paroxysmal Sweats t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: .. st: NotStopd id: Seizure t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Slurred Speech t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Sustained Nystamus t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Tactile Disturbances t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Tremor t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No Tremor st: NotStopd id: Visual Disturbances t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Ectopy Frequency t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 No Response st: NotStopd id: Family Communication t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: Heart Rate t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Redness st: NotStopd id: Abdominal Assessment t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Oral Cavity t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [12:00:00 18/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt st: NotStopd id: Position Change t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 16 n2: 16 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Stool Color/Consist t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Support Systems t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: Temp. Site t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 18/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [12:00:00 18/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 11.208 vu: ml id: Urine Out Foley t0: [12:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Propofol t0: [12:00:00 18/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 18/03/2020] el: 3 cg: RN cu: CSRU pv: 36 cv: 1397.35 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 18/03/2020] el: 3 cg: RN cu: CSRU pv: 46 cv: 2657.35 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 18/03/2020] el: 3 cg: RN cu: CSRU pv: 50 cv: 50 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 18/03/2020] el: 3 cg: RN cu: CSRU pv: 50 cv: 3030 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 18/03/2020] el: 3 cg: RN cu: CSRU pv: -4 cv: -372.652 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 18/03/2020] el: 3 cg: RN cu: CSRU pv: -4 cv: 6466.95 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 18/03/2020] el: 3 cg: RN cu: CSRU pv: -4 cv: -4 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 18/03/2020] el: 3 cg: RN cu: CSRU pv: 50 cv: 3030 ac: 24 ap: carryForward re: 0
pi: 4432765 hi: 10078 t0: [20:00:00 18/03/2020] tf: [10:00:00 19/03/2020] mn: Tacrolimus pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: D5W 100.0ml + 100mghr Lasix t0: [15:00:00 18/03/2020] el: 1 ai: 354 cg: -1 cu: CSRU vo: 0 st: D/C'd
pi: 4433256 hi: 10078 t0: [16:00:00 18/03/2020] tf: [14:00:00 19/03/2020] mn: Fentanyl Citrate pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label pi: 4433257 hi: 10078 t0: [16:00:00 18/03/2020] tf: [14:00:00 19/03/2020] mn: Midazolam HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 36.6667 n1: 36.6667 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: I:E Ratio t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 1:3.3 st: NotStopd id: Airway Size t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 9.9 n1: 9.9 u1: L/min st: NotStopd id: PEEP Set t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Ve High t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [15:00:00 18/03/2020] el: 0 cg: RRT cu: CSRU v1: RAMP st: NotStopd
id: Pain Present t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Service Type t0: [13:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [15:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [13:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Aggitation t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Mod rigid/restle st: NotStopd id: Anxiety t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Mod anxiety st: NotStopd id: Auditory Disturbance t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: CIWA Sum Total t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: sum st: NotStopd id: Daily Wake Up t0: [16:00:00 18/03/2020] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Headache t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: Nausea and Vomiting t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Disorien per/pla st: NotStopd id: Paroxysmal Sweats t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: ... st: NotStopd id: Tactile Disturbances t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Tremor t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No Tremor st: NotStopd id: Visual Disturbances t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [13:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [13:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#2 Intub Site t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Eye Opening t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #2/Site t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: GI#2 Tube PlaceCheck t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [13:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Motor Response t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [13:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Oral Cavity t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Precautions t0: [13:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [15:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Fluoroscopy st: NotStopd id: Pupil Response R/L t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Radiologic Study t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: CT scan st: NotStopd id: Respiratory Pattern t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: White st: NotStopd id: Sputum Source/Amt t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Stool Color/Consist t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Temp. Site t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [13:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [16:00:00 18/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml id: TF Residual t0: [16:00:00 18/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 18/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 18/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 18/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 40 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [13:00:00 18/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 11.208 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [14:00:00 18/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 11.208 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [16:00:00 18/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 22.416 vu: ml id: Gastric Meds t0: [16:00:00 18/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 150 vu: ml id: Stool Out Stool t0: [16:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vu: ml es: Small id: Urine Out Foley t0: [13:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 180 vu: ml id: Urine Out Foley t0: [14:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Propofol t0: [13:00:00 18/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [14:00:00 18/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [15:00:00 18/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip id: Propofol t0: [16:00:00 18/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Less Restrict Meas. t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Edema Location/Amt#1 t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Topic #1 t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Family Communication t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: HOB t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Redness st: NotStopd id: Activity t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Total Lift st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 16 n2: 16 st: NotStopd id: PressureReduceDevice t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: Reason For Restraint t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Hot v2: Clammy st: NotStopd id: Support Systems t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: Therapeutic Bed t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pt./Family Informed t0: [14:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Braden Activity t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Consist. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: Venous CO2(Calc) t0: [16:11:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 rs: Final st: NotStopd id: Venous PvCO2 t0: [16:11:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 51 n1: 51 u1: mmHg rs: Final st: NotStopd id: Venous PvO2 t0: [16:11:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Venous pH t0: [16:11:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.39 n1: 7.39 u1: pH rs: Final st: NotStopd
id: Service Type t0: [17:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [17:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: mmHg st: NotStopd id: Code Status t0: [17:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [17:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [17:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: White st: NotStopd id: Sputum Source/Amt t0: [17:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [17:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 18/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [17:00:00 18/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 11.208 vu: ml id: Urine Out Foley t0: [17:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 220 vu: ml
id: Propofol t0: [17:00:00 18/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 20 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: BUN t0: [16:06:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 81 n1: 81 rs: Final st: NotStopd id: Potassium t0: [16:06:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium t0: [16:06:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd id: BUN (6-20) t0: [16:06:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 81 n1: 81 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [16:06:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Sodium (135-148) t0: [16:06:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd
id: Creatinine t0: [16:06:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [16:06:00 18/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Topic #1 t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Heart Rate t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Oral Care t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: White st: NotStopd id: Sputum Source/Amt t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: calprevflg t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 18/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [18:00:00 18/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vo: 11.208 vu: ml id: Gastric Meds t0: [18:00:00 18/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [18:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml
id: Fentanyl t0: [18:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [18:00:00 18/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip
id: Pain Management t0: [18:00:00 18/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd
id: Fingerstick Glucose t0: [18:00:00 18/03/2020] el: 0 cg: CoWker cu: CSRU v1: 177 n1: 177 rs: Manual st: NotStopd
id: Compliance (40-60ml) t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 42.3077 n1: 42.3077 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 1:3.3 st: NotStopd id: Airway Size t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 9.9 n1: 9.9 u1: L/min st: NotStopd id: PEEP Set t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 800 n1: 800 st: NotStopd id: Ve High t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 545 n1: 545 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 550 n1: 550 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:21:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Tank B psi. t0: [19:30:00 18/03/2020] el: 0 cg: RT cu: CSRU v1: 3000 n1: 3000 st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [19:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [19:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Aggitation t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal activity st: NotStopd id: Anxiety t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No anxiety st: NotStopd id: Ataxia t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Auditory Disturbance t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: CIWA Sum Total t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: sum st: NotStopd id: Drowsiness t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GI Prophylaxis t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Headache t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: Insomnia t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Orient/Clouding Sens t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Disorien per/pla st: NotStopd id: Paroxysmal Sweats t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No sweat visible st: NotStopd id: Seizure t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Slurred Speech t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Sustained Nystamus t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Tactile Disturbances t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Tremor t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No Tremor st: NotStopd id: Visual Disturbances t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [19:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#2 Intub Site t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Eye Opening t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: Follows Commands t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #2/Site t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: GI#2 Tube PlaceCheck t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [19:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Redness st: NotStopd id: Abdominal Assessment t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [19:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Oral Cavity t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [20:00:00 18/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Pain Type t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position Change t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [19:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 16 n2: 16 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [19:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Stool Color/Consist t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Support Systems t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: Urine Color/Appear t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [19:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 18/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: TF Residual t0: [20:00:00 18/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 18/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 40 vu: ml id: N/A 50.0vl + 500mcgkgmin Propofol t0: [19:00:00 18/03/2020] el: 2 ai: 126 cg: RN cu: CSRU vu: ml st: Stopped id: Gastric Meds t0: [20:00:00 18/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [18:00:00 18/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vu: ml nb: 1 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [20:00:00 18/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 18/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vu: ml nb: 1 id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 18/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml
id: Fentanyl t0: [19:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Propofol t0: [19:00:00 18/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 10 du: mcgkgmin so: N/A sv: 50 su: vl rt: IV Drip st: Stopped
id: Service Type t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: CVP t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP Mean t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Stool Out Stool t0: [20:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vu: ml es: Large id: Urine Out Foley t0: [20:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 280 vu: ml
id: Fentanyl t0: [20:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: bath t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done id: Service Type t0: [21:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [21:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Care t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: NBP t0: [21:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Skin Care t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [21:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [20:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 18/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [21:00:00 18/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 18/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [21:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [21:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [22:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [22:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 18/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [22:00:00 18/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [22:00:00 18/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 110 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 18/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [22:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [22:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Pain Present t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Pain Location t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [23:00:00 18/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Pain Type t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Precautions t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: calprevflg t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 18/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [23:00:00 18/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 18/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [23:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [23:00:00 18/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Edema Location/Amt#1 t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#2 Intub Site t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Eye Opening t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 2 To pain st: NotStopd id: GCS Total t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 7 n1: 7 u1: points st: NotStopd id: GI Intub #1/Site t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #2/Site t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: GI#2 Tube PlaceCheck t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV Line#2 D/C Date t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#2 Type/Site t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2InsertDate t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 2 n2: 2 st: NotStopd id: Abdominal Assessment t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Motor Response t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: Oral Care t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Position t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV#2 Dsg Change t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 16 n2: 16 st: NotStopd id: PressureReduceDevice t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: Pupil Response R/L t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Brisk st: NotStopd id: Pupil Size R/L t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: Stool Color/Consist t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Support Systems t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV#2 Cap Change t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 14 n2: 14 st: NotStopd id: Therapeutic Bed t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Behavior t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [23:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: Gastric Meds t0: [23:30:00 18/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 100 vu: ml
id: Fingerstick Glucose t0: [00:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 rs: Manual st: NotStopd
id: Service Type t0: [00:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [00:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [00:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [00:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 19/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [00:00:00 19/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 19/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [00:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [00:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 45.4545 n1: 45.4545 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 1:3.3 st: NotStopd id: Airway Size t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 8.5 n1: 8.5 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 524 n1: 524 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 19/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [01:00:00 19/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [01:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 19/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [01:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [01:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4435204 hi: 10078 t0: [03:00:00 19/03/2020] tf: [14:00:00 19/03/2020] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 3 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 19/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [02:00:00 19/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [02:00:00 19/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 160 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 19/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [02:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [02:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: HOB t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Position t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: Skin Care t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [02:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Procedures t0: [22:00:00 18/03/2020] el: 0 cg: RN cu: CSRU v1: Line Cultured st: NotStopd
id: Service Type t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [02:00:00 19/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 19/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [03:00:00 19/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 240 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 19/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [03:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [03:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 15.1 n1: 15.1 rs: Final st: NotStopd id: WBC t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 15.1 n1: 15.1 rs: Final st: NotStopd id: Hematocrit t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 25.2 n1: 25.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 409 n1: 409 rs: Final st: NotStopd id: RBC t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.16 n1: 3.16 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 15.1 n1: 15.1 rs: Final st: NotStopd
id: INV Line#2 D/C Date t0: [04:00:00 19/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#2 Type/Site t0: [04:00:00 19/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#2 Zero/Cal t0: [04:00:00 19/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#2InsertDate t0: [04:00:00 19/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV Line#2SiteAppear t0: [04:00:00 19/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#2 WaveformAppear t0: [04:00:00 19/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#2 Dsg Change t0: [04:00:00 19/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#2 Cap Change t0: [04:00:00 19/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: INV#2 Tubing Change t0: [04:00:00 19/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd
id: BUN t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 76 n1: 76 rs: Final st: NotStopd id: Calcium t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Glucose t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 149 n1: 149 rs: Final st: NotStopd id: Magnesium t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 76 n1: 76 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 149 n1: 149 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
id: PT t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 14.8 n1: 14.8 rs: Final st: NotStopd id: INR t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 34.4 n1: 34.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 14.8 n1: 14.8 rs: Final st: NotStopd id: PTT(22-35) t0: [03:00:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 34.4 n1: 34.4 rs: Final st: NotStopd
id: RSBI (<100) t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 35.4839 n1: 35.4839 u1: units st: NotStopd id: RSBI (<200) t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 35.4839 n1: 35.4839 u1: units st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 0.62 n1: 0.62 u1: L st: NotStopd
id: Compliance (40-60ml) t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 41.6667 n1: 41.6667 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 1:3.3 st: NotStopd id: Airway Size t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 11 n1: 11 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 518 n1: 518 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 500 n1: 500 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: RAMP st: NotStopd
id: MDI #1 (Puff/Drug) t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd
id: Sputum Color/Consist t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 19/03/2020] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Less Restrict Meas. t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: PainLevel Acceptable t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Daily Wake Up t0: [04:00:00 19/03/2020] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#2 Intub Site t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Education Topic #1 t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #2/Site t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: GI#2 Tube PlaceCheck t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Motor Response t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Flex-withdraws st: NotStopd id: NBP t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [04:00:00 19/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Pain Type t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: PressureReduceDevice t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: Support Systems t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [01:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [03:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 19/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [04:00:00 19/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [04:00:00 19/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 320 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 19/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [04:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [04:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
pi: 4435429 hi: 10078 t0: [06:00:00 19/03/2020] tf: [05:00:00 20/03/2020] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [05:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 19/03/2020] el: 0 cg: RN cu: CSRU st: NotStopd id: Risk for Falls t0: [05:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 134 n1: 134 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 19/03/2020] 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 19/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 19/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [05:00:00 19/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [05:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 240 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 19/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [05:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [05:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [05:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Thick st: NotStopd id: Sputum Source/Amt t0: [05:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: Service Type t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 19/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [06:00:00 19/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [06:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 250 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 19/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [06:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [06:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: D5W 100.0ml t0: [06:00:00 19/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: Gastric Meds t0: [06:00:00 19/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 150 vu: ml
id: N/A 50.0vl + 500mcgkgmin Propofol t0: [07:00:00 19/03/2020] el: 2 ai: 126 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Non-verbal cues st: NotStopd id: Service Type t0: [07:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 19/03/2020] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#2 Intub Site t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Education Topic #1 t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Family Communication t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #2/Site t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: GI#2 Tube PlaceCheck t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [07:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Motor Response t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [07:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: Pain Location t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Management t0: [08:00:00 19/03/2020] el: 1 cg: RN cu: CSRU v1: IV Gtt v2: IV Gtt st: NotStopd id: Position t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [07:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: PressureReduceDevice t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 19/03/2020] 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 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [07:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Support Systems t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Pt./Family Informed t0: [06:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Pt./Family Informed t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 19/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 40 vu: ml id: Gastric Meds t0: [08:00:00 19/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 150 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [08:00:00 19/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 20 vu: ml id: Urine Out Foley t0: [08:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 400 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 19/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml
id: Fentanyl t0: [07:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [08:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [07:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [08:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: ETT Mark/Location t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 24cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 8.0 mm st: NotStopd id: Airway Type t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 v2: 1 n2: 1 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 12.5 n1: 12.5 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Resp Rate (Total) t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 1200 n1: 1200 st: NotStopd id: Tank B psi. t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 20 n1: 20 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 831 n1: 831 u1: ml/B st: NotStopd id: Total PEEP Level t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: Drager st: NotStopd
id: Service Type t0: [08:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [08:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [09:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [08:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [08:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [08:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [08:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Pain Management t0: [08:30:00 19/03/2020] el: 1 cg: RN cu: CSRU v1: IV Push st: NotStopd id: Precautions t0: [08:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [09:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [08:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [09:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [08:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [09:00:00 19/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 19/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [09:00:00 19/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [09:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 19/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [08:30:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Fentanyl t0: [09:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [08:30:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [09:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Medicated st: NotStopd id: Range of Motion t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Topic #1 t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Heart Rate t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Oral Care t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 19/03/2020] 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 19/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: calprevflg t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Braden Activity t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Comp. Limited st: NotStopd
id: D5W 100.0ml t0: [09:00:00 19/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [10:00:00 19/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 19/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [10:00:00 19/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [10:00:00 19/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 19/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [10:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip id: Midazolam t0: [10:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 19/03/2020] el: 3 cg: RN cu: CSRU cv: 1200 ac: 24 ap: none re: 0
pi: 4436037 hi: 10078 t0: [20:00:00 19/03/2020] tf: [22:00:00 20/03/2020] mn: Tacrolimus pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Eye Care t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Activity t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Position t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Turn t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: Service Type t0: [11:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Sedated st: NotStopd id: Risk for Falls t0: [11:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: Precautions t0: [11:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: White st: NotStopd id: Sputum Source/Amt t0: [10:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [11:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 19/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [11:00:00 19/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 10 vu: ml id: Stool Out Stool t0: [10:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [11:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [11:00:00 19/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 6 vu: ml
id: Fentanyl t0: [11:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 100 du: mcghr so: .9% Normal Saline sv: 250 su: ml rt: IV Drip st: Stopped id: Midazolam t0: [11:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 6 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped
id: Stool Out Total t0: [23:00:00 19/03/2020] el: 3 cg: RN cu: CSRU cv: 0 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 19/03/2020] el: 3 cg: RN cu: CSRU pv: 30 cv: 360 ac: 24 ap: none re: 0
id: PEEP Set t0: [11:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 0 n1: 0 u1: cmH2O st: NotStopd id: Total PEEP Level t0: [11:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Ventilator Mode t0: [11:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: Pressure Support st: NotStopd
id: CVP t0: [11:00:00 19/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Less Restrict Meas. t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Daily Wake Up t0: [12:00:00 19/03/2020] el: 1 cg: RN cu: CSRU v1: Yes st: NotStopd id: GI Prophylaxis t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#1 Intub Site t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#2 Intub Site t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Education Topic #1 t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: GI Intub #1/Site t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #2/Site t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: Heart Rate t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: NBP t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Oral Cavity t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Pain Location t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position Change t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: Urine Color/Appear t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: TF Residual t0: [12:00:00 19/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 19/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: GI#1 Tube PlaceCheck t0: [12:00:00 19/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI#1 Tube Stat/Drain t0: [12:00:00 19/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: In-Line Sx Change t0: [12:00:00 19/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd
id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl t0: [12:00:00 19/03/2020] el: 1 ai: 112 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Riker-SAS Scale t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Eye Opening t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: GCS Total t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: points st: NotStopd id: LLL Lung Sounds t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Orientation t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Unable to Assess st: NotStopd id: PressureReduceDevice t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: Pupil Response R/L t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Sputum Color/Consist t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Small st: NotStopd id: Therapeutic Bed t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Verbal Response t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1.0 ET/Trach st: NotStopd
id: Urine Out Foley t0: [12:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Temp. Site t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 36.3889 n1: 36.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 97.5 n1: 97.5 u1: Deg. F st: NotStopd
id: FiO2 Set t0: [12:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 1 n1: 1 u1: torr st: NotStopd id: Airway Type t0: [12:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: None st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: NBP Mean t0: [12:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 19/03/2020] el: 0 cg: RRT cu: CSRU v1: 154 n1: 154 rs: Manual st: NotStopd
id: Service Type t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Chest PT R/L t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Code Status t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Cough/Deep Breathe t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Aggitation t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: > Norm activity st: NotStopd id: Anxiety t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Mildly anxious st: NotStopd id: Auditory Disturbance t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: CIWA Sum Total t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: sum st: NotStopd id: Headache t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: Nausea and Vomiting t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Disorien per/pla st: NotStopd id: Paroxysmal Sweats t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Palms moist st: NotStopd id: Tactile Disturbances t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Tremor t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Not visible st: NotStopd id: Visual Disturbances t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#1 Intub Site t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI#2 Intub Site t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Eye Opening t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #1/Site t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #2/Site t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI#2 Tube Stat/Drain t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: Heart Rate t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Orientation t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Precautions t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Urine Source t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 3 Inapprop words st: NotStopd id: calprevflg t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 19/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 19/03/2020] el: 1 ai: 338 cg: RN cu: CSRU vo: 12 vu: ml
id: GI#1 Intub Site t0: [13:01:00 19/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: GI Intub #1/Site t0: [13:01:00 19/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd
id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:01:00 19/03/2020] el: 1 ai: 338 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Chest PT R/L t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Code Status t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Cough/Deep Breathe t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Risk for Falls t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: GI#2 Intub Site t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Eye Opening t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: HOB t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Heart Rate t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: Oral Care t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Orientation t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Position t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: PressureReduceDevice t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Significant Events t0: [12:00:00 19/03/2020] el: 0 cg: RN cu: CSRU st: NotStopd id: Significant Events t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Extubated st: NotStopd id: SpO2 t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Source t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 19/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
pi: 4436828 hi: 10078 t0: [15:00:00 19/03/2020] tf: [11:00:00 21/03/2020] mn: Haloperidol pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4436829 hi: 10078 t0: [15:00:00 19/03/2020] tf: [12:00:00 20/03/2020] mn: Lorazepam pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours
pi: 4436995 hi: 10078 t0: [16:00:00 19/03/2020] tf: [15:00:00 20/03/2020] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Cough Effort t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Risk for Falls t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#2 Intub Site t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Education Topic #1 t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Heart Rate t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Orientation t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Precautions t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Side Rails t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Urine Source t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [14:00:00 19/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 19/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [15:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: Aggitation t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Mod rigid/restle st: NotStopd id: Anxiety t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Mildly anxious st: NotStopd id: Auditory Disturbance t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: CIWA Sum Total t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: sum st: NotStopd id: Headache t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: Nausea and Vomiting t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Disorien per/pla st: NotStopd id: Paroxysmal Sweats t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Palms moist st: NotStopd id: Tactile Disturbances t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Tremor t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Not visible st: NotStopd id: Visual Disturbances t0: [15:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Chest PT R/L t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Effort t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Cough/Deep Breathe t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Aggitation t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: ... st: NotStopd id: Anxiety t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Mildly anxious st: NotStopd id: Auditory Disturbance t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: CIWA Sum Total t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 10 n1: 10 u1: sum st: NotStopd id: GI Prophylaxis t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Headache t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: Nausea and Vomiting t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Disorien per/pla st: NotStopd id: Paroxysmal Sweats t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Palms moist st: NotStopd id: Tactile Disturbances t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Tremor t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Not visible st: NotStopd id: Visual Disturbances t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: GI#2 Intub Site t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Education Topic #1 t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI#2 Tube Stat/Drain t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Heart Rate t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 138 n1: 138 u1: mmHg v2: 92 n2: 92 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Oral Care t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Position t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: PressureReduceDevice t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Sluggish v2: Sluggish st: NotStopd id: Pupil Size R/L t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged st: NotStopd id: Sputum Source/Amt t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd id: Support Systems t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [14:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 174 n1: 174 rs: Manual st: NotStopd id: Bowel Sounds t0: [16:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: D5W 100.0ml t0: [16:00:00 19/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 19/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [16:00:00 19/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [16:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: BUN t0: [15:39:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 72 n1: 72 rs: Final st: NotStopd id: Chloride t0: [15:39:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [15:39:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: Glucose t0: [15:39:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd id: Potassium t0: [15:39:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [15:39:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [15:39:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 72 n1: 72 rs: Final st: NotStopd id: Carbon Dioxide t0: [15:39:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 rs: Final st: NotStopd id: Chloride (100-112) t0: [15:39:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [15:39:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [15:39:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 140 n1: 140 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:39:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [15:39:00 19/03/2020] el: 0 cg: 3161 cu: CSRU v1: 144 n1: 144 rs: Final st: NotStopd
id: Service Type t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Aggitation t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Mod rigid/restle st: NotStopd id: Anxiety t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Mildly anxious st: NotStopd id: Auditory Disturbance t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: CIWA Sum Total t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: sum st: NotStopd id: Headache t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Not present st: NotStopd id: Nausea and Vomiting t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: No N/V st: NotStopd id: Orient/Clouding Sens t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Disorien per/pla st: NotStopd id: Paroxysmal Sweats t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Palms moist st: NotStopd id: Tactile Disturbances t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Tremor t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Not visible st: NotStopd id: Visual Disturbances t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Risk for Falls t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Opening t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: Heart Rate t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Orientation t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pain Management t0: [17:00:00 19/03/2020] el: 1 cg: RN cu: CSRU v1: IV Push st: NotStopd id: Precautions t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Verbal Response t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [17:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 19/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Stool Out Stool t0: [17:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 0 vu: ml id: Urine Out Foley t0: [17:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Less Restrict Meas. t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Risk for Falls t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 6 mm st: NotStopd id: Education Topic #1 t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: Heart Rate t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 101 n2: 101 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Orientation t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Position Change t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Verbal Response t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [18:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 158 n1: 158 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 19/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Riker-SAS Scale t0: [19:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 19/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [18:00:00 19/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [19:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [19:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [19:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Precautions t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4437961 hi: 10078 t0: [21:00:00 19/03/2020] tf: [20:00:00 20/03/2020] mn: Olanzapine (Disintegrating Tablet) pt: Unit Dose st: Expired rt: PO fr: MR X1 ds: 21 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Circulation/SkinInt t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Weak st: NotStopd id: Cough Type t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Nonproductive st: NotStopd id: Cough/Deep Breathe t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Prophylaxis t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Alarms t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: GI#2 Intub Site t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Education Topic #1 t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Follows Commands t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: HOB t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: Oral Cavity t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Position t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: RLL Lung Sounds t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Support Systems t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Pt./Family Informed t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 19/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: TF Residual t0: [20:00:00 19/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 19/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [20:00:00 19/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [20:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 320 vu: ml
id: Service Type t0: [21:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: FiO2 Set t0: [20:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Heart Rate t0: [21:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: Precautions t0: [21:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 18 n2: 18 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [21:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 19/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 250 vu: ml
id: Airway Type t0: [21:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: O2 Delivery Device t0: [21:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: SpO2 t0: [21:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd
id: Less Restrict Meas. t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: FiO2 Set t0: [21:30:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: HOB t0: [21:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: HOB t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Type t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: NBP t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: Position Change t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 19/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: FiO2 Set t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Sputum Color/Consist t0: [21:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Small st: NotStopd
id: Service Type t0: [23:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [23:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [23:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: FiO2 Set t0: [23:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Heart Rate t0: [23:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Type t0: [23:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Level of Conscious t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: NBP t0: [23:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 154 n1: 154 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [23:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: Orientation t0: [22:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Precautions t0: [23:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [23:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 19/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 19/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [22:00:00 19/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [23:00:00 19/03/2020] el: 1 cg: RN cu: CSRU vo: 300 vu: ml
id: IV Infusion In Total t0: [23:00:00 19/03/2020] el: 3 cg: RN cu: CSRU pv: 10 cv: 1164 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 19/03/2020] el: 3 cg: RN cu: CSRU pv: 40 cv: 2724 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 19/03/2020] el: 3 cg: RN cu: CSRU pv: 300 cv: 300 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 19/03/2020] el: 3 cg: RN cu: CSRU pv: 300 cv: 4440 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 19/03/2020] el: 3 cg: RN cu: CSRU pv: -260 cv: -1716 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 19/03/2020] el: 3 cg: RN cu: CSRU pv: -260 cv: 4750.95 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 19/03/2020] el: 3 cg: RN cu: CSRU pv: -260 cv: -260 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 19/03/2020] el: 3 cg: RN cu: CSRU pv: 300 cv: 4440 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: Education Topic #1 t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: FiO2 Set t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Heart Rate t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: Airway Type t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: O2 Delivery Device t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: Position Change t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 18 n2: 18 st: NotStopd id: CVP Alarm (Lo/Hi) t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: calprevflg t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [00:00:00 20/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 100 vu: ml
id: Fingerstick Glucose t0: [00:00:00 20/03/2020] el: 0 cg: CoWker cu: CSRU v1: 139 n1: 139 rs: Manual st: NotStopd
id: Pain Present t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: bath t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: done id: Pain Assess Method t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Cough Effort t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Weak st: NotStopd id: Cough Type t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Nonproductive st: NotStopd id: Cough/Deep Breathe t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Prophylaxis t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#2 Intub Site t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Eye Care t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 163 n1: 163 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Position t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: RLL Lung Sounds t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Skin Care t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Temp. Site t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Bowel Sounds t0: [00:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Urine Out Foley t0: [00:00:00 20/03/2020] el: 1 cg: RN cu: CSRU vo: 130 vu: ml
id: Less Restrict Meas. t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [01:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [01:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [01:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: FiO2 Set t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Heart Rate t0: [01:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Type t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: NBP t0: [01:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 149 n1: 149 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: Position Change t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [01:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [01:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [01:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [01:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [01:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [02:00:00 20/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [02:00:00 20/03/2020] el: 1 cg: RN cu: CSRU vo: 290 vu: ml
id: WBC (4-11,000) t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 21.1 n1: 21.1 rs: Final st: NotStopd id: WBC t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 21.1 n1: 21.1 rs: Final st: NotStopd id: Hematocrit t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 29.7 n1: 29.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 9.3 n1: 9.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 475 n1: 475 rs: Final st: NotStopd id: RBC t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.77 n1: 3.77 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 21.1 n1: 21.1 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [03:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Congested st: NotStopd id: Cough/Deep Breathe t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Prophylaxis t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [03:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: GI#2 Intub Site t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Education Topic #1 t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Follows Commands t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Other/Remarks st: NotStopd id: HOB t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [03:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: Abdominal Assessment t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Airway Type t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: LLL Lung Sounds t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Motor Response t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 144 n1: 144 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: Oral Cavity t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Position t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 18 n2: 18 st: NotStopd id: PressureReduceDevice t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: CVP Alarm (Lo/Hi) t0: [03:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: QTc t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: sec st: NotStopd id: RLL Lung Sounds t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [03:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Source/Amt t0: [02:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Expectorated v2: None st: NotStopd id: Sputum Source/Amt t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Expectorated v2: None st: NotStopd id: Support Systems t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [04:00:00 20/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [04:00:00 20/03/2020] el: 1 cg: RN cu: CSRU vo: 180 vu: ml
id: TF Residual t0: [04:00:00 20/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml
id: D5W 100.0ml t0: [02:00:00 20/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: BUN t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 68 n1: 68 rs: Final st: NotStopd id: Calcium t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Glucose t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Magnesium t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd id: BUN (6-20) t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 68 n1: 68 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.5 n1: 8.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 111 n1: 111 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.9 n1: 2.9 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 147 n1: 147 rs: Final st: NotStopd
id: PT t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 16.4 n1: 16.4 rs: Final st: NotStopd id: INR t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PTT t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 16.4 n1: 16.4 rs: Final st: NotStopd id: PTT(22-35) t0: [03:01:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 rs: Final st: NotStopd
pi: 4439041 hi: 10078 t0: [06:00:00 20/03/2020] tf: [05:00:00 24/03/2020] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 6 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [05:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [05:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [05:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [05:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Precautions t0: [05:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [05:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 20/03/2020] 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 20/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [05:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: NBP t0: [05:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 162 n1: 162 u1: mmHg v2: 89 n2: 89 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [05:00:00 20/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Less Restrict Meas. t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: FiO2 Set t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Heart Rate t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Airway Type t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: O2 Delivery Device t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: Position Change t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 20/03/2020] 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 20/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [05:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Fingerstick Glucose t0: [06:00:00 20/03/2020] el: 0 cg: CoWker cu: CSRU v1: 159 n1: 159 rs: Manual st: NotStopd
pi: 4439092 hi: 10078 t0: [07:00:00 20/03/2020] tf: [06:00:00 21/03/2020] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: NBP t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 98 n2: 98 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd
id: D5W 100.0ml t0: [06:00:00 20/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: Free Water Bolus t0: [06:00:00 20/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [06:00:00 20/03/2020] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Service Type t0: [07:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [07:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 152 n1: 152 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: CVP Alarm (Lo/Hi) t0: [07:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 0 n1: 0 u1: mmHg v2: 20 n2: 20 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 20/03/2020] 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 20/03/2020] el: 0 cg: RN cu: CSRU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [07:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
pi: 4439168 hi: 10078 t0: [08:00:00 20/03/2020] tf: [07:00:00 21/03/2020] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Alarms t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: Education Barrier t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Education Readiness t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Care t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: FiO2 Set t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 0.95 n1: 0.95 u1: torr st: NotStopd id: Follows Commands t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: GI Intub #2/Site t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Heart Rate t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: Abdominal Assessment t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Level of Conscious t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: Oral Care t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Position Change t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 18 n2: 18 st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Removed x 5 Mins t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 38.1667 n1: 38.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 100.7 n1: 100.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Withdrawn st: NotStopd id: Pt./Family Informed t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [08:00:00 20/03/2020] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: KCL io: D5W 50.0ml el: 100 cg: RN cu: CSRU am: 20 du: mEq rt: Intravenous Push
id: Dorsal PedPulse R/L t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GI#2 Tube Stat/Drain t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Other/Remarks st: NotStopd id: CVP Alarm (Lo/Hi) t0: [08:00:00 20/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd
pi: 4439257 hi: 10078 t0: [14:00:00 20/03/2020] tf: [12:00:00 20/03/2020] mn: Naloxone HCl pt: Unit Dose st: Discontinued rt: PO fr: TID ds: 08, 14, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Ectopy Frequency t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd
id: D5W 100.0ml t0: [08:00:00 20/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: TF Residual t0: [08:00:00 20/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: D5W 50.0ml t0: [07:00:00 20/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 50 vu: ml id: Free Water Bolus t0: [08:00:00 20/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml
id: LLL Lung Sounds t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RLL Lung Sounds t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Bowel Sounds t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Service Type t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Chest PT R/L t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Code Status t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Weak st: NotStopd id: Cough Type t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Nonproductive st: NotStopd id: Cough/Deep Breathe t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Risk for Falls t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Type t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: HOB t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Level of Conscious t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: NBP t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 143 n1: 143 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Position t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Skin Care t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Source/Amt t0: [08:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Expectorated v2: None st: NotStopd id: Therapeutic Bed t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Procedures t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Pan Cultured st: NotStopd id: Radiologic Study t0: [09:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd
pi: 4439513 hi: 10078 t0: [10:00:00 20/03/2020] tf: [09:00:00 21/03/2020] mn: Alteplase (Catheter Clearance) pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4439517 hi: 10078 t0: [10:00:00 20/03/2020] tf: [09:00:00 21/03/2020] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Urine Out Foley t0: [09:00:00 20/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Less Restrict Meas. t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Risk for Falls t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: Heart Rate t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 20/03/2020] 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 20/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Removed x 5 Mins t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: calprevflg t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Withdrawn st: NotStopd id: Pt./Family Informed t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [09:00:00 20/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: D5W 50.0ml t0: [09:00:00 20/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vu: ml id: D5W 50.0ml t0: [10:00:00 20/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Art.pH t0: [09:58:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: Lactic Acid t0: [09:58:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Arterial Base Excess t0: [09:58:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 11 n1: 11 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [09:58:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 36 n1: 36 rs: Final st: NotStopd id: Arterial PaCO2 t0: [09:58:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [09:58:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 122 n1: 122 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [09:58:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [09:58:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 0.9 n1: 0.9 rs: Final st: NotStopd
id: Temp. Site t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd
id: Urine Out Foley t0: [10:00:00 20/03/2020] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: LLL Lung Sounds t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RLL Lung Sounds t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [10:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd
id: TF Residual t0: [10:00:00 20/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: Free Water Bolus t0: [10:00:00 20/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml
id: Service Type t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Eye Opening t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Inconsistently st: NotStopd id: GCS Total t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: Heart Rate t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: Activity Tolerance t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Level of Conscious t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Orientation t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Assistance Device t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Hoyer st: NotStopd id: Precautions t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Guaiac t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Stool Management t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Verbal Response t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Stool Out Stool t0: [11:00:00 20/03/2020] el: 1 cg: RN cu: CSRU vu: ml es: Large id: Urine Out Foley t0: [11:00:00 20/03/2020] el: 1 cg: RN cu: CSRU vo: 500 vu: ml
id: Stool Out Total t0: [23:00:00 20/03/2020] el: 3 cg: RN cu: CSRU cv: 350 ac: 24 ap: carryForward re: 0
id: Less Restrict Meas. t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: Education Barrier t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Method t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Pain Scale st: NotStopd id: Eye Care t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Heart Rate t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: NBP t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 18 n2: 18 st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Removed x 5 Mins t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: Back Care t0: [11:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Withdrawn st: NotStopd id: Pt./Family Informed t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Braden Activity t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
pi: 4440073 hi: 10078 t0: [13:00:00 20/03/2020] tf: [20:00:00 01/04/2020] mn: Heparin Flush PICC (100 units/ml) pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
id: GI Prophylaxis t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Education Learner t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Patient/Sig Othr st: NotStopd id: GI#2 Intub Site t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Family Communication t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: GI Intub #2/Site t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Other/Remarks st: NotStopd id: Abdominal Assessment t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Level of Conscious t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Oral Cavity t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Respiratory Pattern t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Temp. Site t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Bowel Sounds t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Urine Out Foley t0: [12:00:00 20/03/2020] el: 1 cg: RN cu: CSRU vo: 240 vu: ml
id: LLL Lung Sounds t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: PressureReduceDevice t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: RLL Lung Sounds t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [12:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd
id: TF Residual t0: [12:00:00 20/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: Free Water Bolus t0: [12:00:00 20/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [11:30:00 20/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: PO/Gastric In Total t0: [23:00:00 20/03/2020] el: 3 cg: RN cu: CSRU cv: 1440 ac: 24 ap: none re: 0
id: Service Type t0: [13:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [13:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [13:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [13:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [13:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [13:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: NBP t0: [13:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 20/03/2020] 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 20/03/2020] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [13:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 20/03/2020] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Less Restrict Meas. t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Family Communication t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Heart Rate t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: Level of Conscious t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Position Change t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 20/03/2020] 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 20/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Removed x 5 Mins t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: calprevflg t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Withdrawn st: NotStopd id: Pt./Family Informed t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [14:00:00 20/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Riker-SAS Scale t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: NBP t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd
id: INV#1 Cap Change t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [14:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd
id: Service Type t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Family Communication t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Fam Talked to RN st: NotStopd id: Heart Rate t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: Precautions t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [14:00:00 20/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [14:00:00 20/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [15:00:00 20/03/2020] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: D5W 100.0ml t0: [14:00:00 20/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [15:00:00 20/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml
id: NBP t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd
pi: 4440633 hi: 10078 t0: [16:00:00 20/03/2020] tf: [15:00:00 21/03/2020] mn: Alteplase (Catheter Clearance) pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: FiO2 Set t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 0.9 n1: 0.9 u1: torr st: NotStopd id: O2 Delivery Device t0: [15:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd
id: BUN t0: [14:22:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 64 n1: 64 rs: Final st: NotStopd id: Calcium t0: [14:22:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [14:22:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine t0: [14:22:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Glucose t0: [14:22:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 185 n1: 185 rs: Final st: NotStopd id: Magnesium t0: [14:22:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous t0: [14:22:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [14:22:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [14:22:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: BUN (6-20) t0: [14:22:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 64 n1: 64 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [14:22:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [14:22:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 32 n1: 32 rs: Final st: NotStopd id: Chloride (100-112) t0: [14:22:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [14:22:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [14:22:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 185 n1: 185 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [14:22:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [14:22:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [14:22:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [14:22:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Alarms t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: GI#2 Intub Site t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Family Communication t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: GI Intub #2/Site t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI#2 Tube Stat/Drain t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Other/Remarks st: NotStopd id: Heart Rate t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: Level of Conscious t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: O2 Delivery Device t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: Oral Cavity t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Position Change t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Removed x 5 Mins t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Urine Source t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Withdrawn st: NotStopd id: Pt./Family Informed t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Riker-SAS Scale t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Care t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: FiO2 Set t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: Oral Care t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PressureReduceDevice t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: Temperature C (calc) t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Back Care t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Urine Out Foley t0: [16:00:00 20/03/2020] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: Dorsal PedPulse R/L t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: GI#2 Tube PlaceCheck t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: LLL Lung Sounds t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RLL Lung Sounds t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: Stool Color/Consist t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Urine Color/Appear t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Bowel Sounds t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: Eye Opening t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: Motor Response t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Orientation t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Verbal Response t0: [16:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd
id: TF Residual t0: [16:00:00 20/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: Free Water Bolus t0: [16:00:00 20/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 130 vu: ml
pi: 4440887 hi: 10078 t0: [17:00:00 20/03/2020] tf: [16:00:00 21/03/2020] mn: Furosemide pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 17 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: FiO2 Set t0: [16:30:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd
id: Service Type t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: Activity t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: Precautions t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 18 n2: 18 st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: INV#1 Cap Change t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: calprevflg t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Urine Out Foley t0: [17:00:00 20/03/2020] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Less Restrict Meas. t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: FiO2 Set t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: HOB t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Level of Conscious t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: NBP t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [17:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: Position t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Hoyer st: NotStopd id: Precautions t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Risk For Falling st: NotStopd id: Removed x 5 Mins t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Support Systems t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Withdrawn st: NotStopd id: Pt./Family Informed t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: TF Residual t0: [18:00:00 20/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [18:00:00 20/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 140 vu: ml id: Stool Out Stool t0: [17:00:00 20/03/2020] el: 1 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [18:00:00 20/03/2020] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: Sputum Color/Consist t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd
id: Stool Out Stool t0: [18:00:00 20/03/2020] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Education Barrier t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [18:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd
id: Service Type t0: [19:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [19:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [19:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [19:00:00 20/03/2020] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: FiO2 Set t0: [19:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: O2 Delivery Device t0: [19:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd
id: Art.pH t0: [18:36:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.48 n1: 7.48 rs: Final st: NotStopd id: Lactic Acid t0: [18:36:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: Arterial Base Excess t0: [18:36:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 9 n1: 9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [18:36:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [18:36:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [18:36:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 114 n1: 114 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [18:36:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.48 n1: 7.48 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [18:36:00 20/03/2020] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Weak st: NotStopd id: Cough/Deep Breathe t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Prophylaxis t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: GI#2 Intub Site t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Education Topic #1 t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Follows Commands t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LUL Lung Sounds t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: Oral Care t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Position t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 18 n2: 18 st: NotStopd id: PressureReduceDevice t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Removed x 5 Mins t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Restraint Type t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thin st: NotStopd id: Sputum Source/Amt t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Stool Color/Consist t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: Temp. Site t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Very Poor st: NotStopd id: Braden Score t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 20/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [20:00:00 20/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [20:00:00 20/03/2020] el: 1 cg: RN cu: CSRU vo: 240 vu: ml id: Urine Out Foley t0: [20:30:00 20/03/2020] el: 1 cg: RN cu: CSRU vo: 330 vu: ml
id: Service Type t0: [21:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [21:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [21:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Skin Color t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Temp/Condition t0: [20:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd
pi: 4441934 hi: 10078 t0: [08:00:00 20/03/2020] tf: [03:00:00 24/03/2020] mn: Tacrolimus pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: QAM ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4441935 hi: 10078 t0: [08:00:00 20/03/2020] tf: [03:00:00 24/03/2020] mn: Tacrolimus pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: QAM ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4441939 hi: 10078 t0: [22:00:00 20/03/2020] tf: [03:00:00 24/03/2020] mn: Tacrolimus pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: QPM ds: 16 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Service Type t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: FiO2 Set t0: [21:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 0.8 n1: 0.8 u1: torr st: NotStopd id: FiO2 Set t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Heart Rate t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [21:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: Precautions t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Respiratory Rate t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Side Rails t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thin st: NotStopd id: Sputum Source/Amt t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Scant st: NotStopd id: calprevflg t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [22:00:00 20/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 100 vu: ml id: Urine Out Foley t0: [22:00:00 20/03/2020] el: 1 cg: RN cu: CSRU vo: 380 vu: ml
id: Total Hourly Output t0: [23:00:00 20/03/2020] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 20/03/2020] el: 3 cg: RN cu: CSRU cv: 3920 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 20/03/2020] el: 3 cg: RN cu: CSRU cv: 4270 ac: 24 ap: carryForward re: 0
id: Range of Motion t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: HOB t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: Removed x 5 Mins t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Type t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Therapeutic Bed t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd
id: Service Type t0: [23:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [23:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [23:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [23:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 20/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 21/03/2020] el: 0 cg: CoWker cu: CSRU v1: 159 n1: 159 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Nonproductive st: NotStopd id: Cough/Deep Breathe t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Prophylaxis t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: GI#2 Intub Site t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Education Topic #1 t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Follows Commands t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: Oral Care t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Position t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 18 n2: 18 st: NotStopd id: PressureReduceDevice t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Removed x 5 Mins t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: Stool Color/Consist t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: Temp. Site t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [00:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: TF Residual t0: [00:00:00 21/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 20/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [00:00:00 21/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml id: Tube Feeding t0: [00:00:00 21/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 35 vu: ml nb: 1 id: Urine Out Foley t0: [00:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 320 vu: ml
id: IV Infusion In Total t0: [23:00:00 20/03/2020] el: 3 cg: RN cu: CSRU pv: 10 cv: 940 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 20/03/2020] el: 3 cg: RN cu: CSRU pv: 70 cv: 3460 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 20/03/2020] el: 3 cg: RN cu: CSRU pv: 60 cv: 1080 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 20/03/2020] el: 3 cg: RN cu: CSRU pv: 70 cv: -810 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 20/03/2020] el: 3 cg: RN cu: CSRU pv: 70 cv: 3940.95 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 20/03/2020] el: 3 cg: RN cu: CSRU pv: 70 cv: 70 ac: 1 ap: none re: 0
id: Service Type t0: [01:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: bath t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: done id: Service Type t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Risk for Falls t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Eye Care t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: FiO2 Set t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: HOB t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: Oral Care t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 34 n1: 34 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % st: NotStopd id: Therapeutic Bed t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Back Care t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: D5W 100.0ml t0: [02:00:00 21/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [02:00:00 21/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml id: Tube Feeding t0: [01:00:00 21/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 35 vu: ml id: Tube Feeding t0: [02:00:00 21/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 35 vu: ml id: Urine Out Foley t0: [02:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 240 vu: ml
id: Service Type t0: [03:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [03:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [03:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: WBC (4-11,000) t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 15.1 n1: 15.1 rs: Final st: NotStopd id: WBC t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 15.1 n1: 15.1 rs: Final st: NotStopd id: Hematocrit t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 9 n1: 9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 422 n1: 422 rs: Final st: NotStopd id: RBC t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.56 n1: 3.56 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 15.1 n1: 15.1 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: Education Topic #1 t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Heart Rate t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position Change t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Support Systems t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: calprevflg t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [04:00:00 21/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml id: Tube Feeding t0: [03:00:00 21/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 35 vu: ml id: Tube Feeding t0: [04:00:00 21/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 35 vu: ml
id: Pain Present t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Congested st: NotStopd id: GI Prophylaxis t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: GI#2 Intub Site t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Eye Opening t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Follows Commands t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: Oral Cavity t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 18 n2: 18 st: NotStopd id: RLL Lung Sounds t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Sputum Source/Amt t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Expectorated v2: None st: NotStopd id: Stool Color/Consist t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: INV#1 Cap Change t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: Temp. Site t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Bowel Sounds t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Urine Out Foley t0: [04:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: BUN t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 61 n1: 61 rs: Final st: NotStopd id: Calcium t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Glucose t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Magnesium t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 149 n1: 149 rs: Final st: NotStopd id: BUN (6-20) t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 61 n1: 61 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.8 n1: 2.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:14:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 149 n1: 149 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [05:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [05:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 21/03/2020] 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 21/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [05:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: FiO2 Set t0: [05:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: O2 Delivery Device t0: [05:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd
id: Stool Out Stool t0: [05:00:00 21/03/2020] el: 1 cg: CoWker cu: CSRU vo: 850 vu: ml
id: Stool Out Total t0: [23:00:00 21/03/2020] el: 3 cg: RN cu: CSRU cv: 1350 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: FiO2 Set t0: [05:30:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: HOB t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: O2 Delivery Device t0: [05:30:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: Oral Care t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [05:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: Reason For Restraint t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Sputum Source/Amt t0: [05:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Scant st: NotStopd id: Therapeutic Bed t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Pt./Family Informed t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Fingerstick Glucose t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 155 n1: 155 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [05:00:00 21/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 35 vu: ml id: Tube Feeding t0: [06:00:00 21/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 35 vu: ml
id: Service Type t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: FiO2 Set t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Heart Rate t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 128 n1: 128 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: Precautions t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: calprevflg t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Free Water Bolus t0: [06:00:00 21/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [06:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 170 vu: ml
id: Insulin Guideline t0: [06:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd
pi: 4442730 hi: 10078 t0: [08:00:00 21/03/2020] tf: [23:00:00 25/03/2020] mn: Potassium Chloride pt: IV Piggyback st: Discontinued rt: IV fr: 2X dn: 0 di: Ongoing xv: 36 xu: Hours pi: 4442731 hi: 10078 t0: [08:00:00 21/03/2020] tf: [07:00:00 22/03/2020] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [07:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Precautions t0: [07:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 21/03/2020] 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 21/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [07:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Tube Feeding t0: [07:00:00 21/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 35 vu: ml
id: Less Restrict Meas. t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [07:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: Education Barrier t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Education Readiness t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Heart Rate t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Level of Conscious t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Oral Cavity t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Position Change t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 18 n2: 18 st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Stool Color/Consist t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: Temp. Site t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [08:00:00 21/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 50.0ml t0: [09:00:00 21/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [08:00:00 21/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 35 vu: ml id: Tube Feeding t0: [09:00:00 21/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 35 vu: ml id: Urine Out Foley t0: [08:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Chest PT R/L t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Cough/Deep Breathe t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Care t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Activity t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: Activity Tolerance t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Oral Care t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Hoyer st: NotStopd id: PressureReduceDevice t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: Skin Care t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Back Care t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: TF Residual t0: [09:00:00 21/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 5 vu: ml id: Gastric Meds t0: [09:00:00 21/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 30 vu: ml id: Free Water Bolus t0: [09:00:00 21/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [09:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: Cough Effort t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Cough Type t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: GI#2 Tube Stat/Drain t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: LLL Lung Sounds t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: RLL Lung Sounds t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Bowel Sounds t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Family Communication t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: FiO2 Set t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Level of Conscious t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: NBP t0: [07:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 129 n1: 129 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: Respiratory Pattern t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Support Systems t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Behavior t0: [09:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Barrier t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Family Communication t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Heart Rate t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: NBP t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 21/03/2020] 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 21/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding t0: [10:00:00 21/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 35 vu: ml
id: Service Type t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Runs Vtach st: NotStopd id: Ectopy Type t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 u1: BPM st: NotStopd id: NBP t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5/.45NS t0: [11:00:00 21/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 900 vu: ml id: D5/.45NS t0: [11:05:00 21/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 1000 vu: ml
id: Radiologic Study t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd
id: Art.pH t0: [10:54:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: Lactic Acid t0: [10:54:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Arterial Base Excess t0: [10:54:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [10:54:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [10:54:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [10:54:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 118 n1: 118 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [10:54:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: Lactic Acid(0.5-2.0) t0: [10:54:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 1.1 n1: 1.1 rs: Final st: NotStopd
pi: 4443257 hi: 10078 t0: [12:00:00 21/03/2020] tf: [11:00:00 22/03/2020] mn: Amiodarone HCl pt: Unit Dose st: Expired rt: IV BOLUS fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4443258 hi: 10078 t0: [12:00:00 21/03/2020] tf: [18:00:00 21/03/2020] mn: Amiodarone HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION dt: 6 di: Hours xu: Enter on Label pi: 4443259 hi: 10078 t0: [12:00:00 21/03/2020] tf: [18:00:00 21/03/2020] mn: Amiodarone HCl pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION dt: 18 di: Hours xu: Enter on Label
id: Urine Out Foley t0: [10:00:00 21/03/2020] el: 1 cg: CoWker cu: CSRU vo: 150 vu: ml
id: Cough Effort t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Cough Type t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Cough/Deep Breathe t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: IV #1 Insert Date t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 20 n2: 20 st: NotStopd id: IV #1 Site/Size t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Position t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Hoyer st: NotStopd id: PressureReduceDevice t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: Procedures t0: [11:15:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Sputum Cx st: NotStopd id: RLL Lung Sounds t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Respiratory Pattern t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Skin Integrity t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Sputum Color/Consist t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd id: Support Systems t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Verbal Response t0: [10:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Behavior t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd
id: D5W 50.0ml t0: [10:00:00 21/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 50 vu: ml id: Tube Feeding t0: [11:00:00 21/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vu: ml st: Stopped
id: Amiodarone io: D5W 250.0ml + 600mgmin Amiodarone el: 100 cg: RN cu: CSRU am: 600 du: mgmin rt: IV Drip id: Lasix io: D5W 100.0ml + 100mghr Lasix el: 200 cg: RN cu: CSRU am: 100 du: mghr rt: IV Drip
io: D5W 250.0ml + 600mgmin Amiodarone el: 1 cg: RN cu: CSRU ra: 25 ru: ml/hr
pi: 4443441 hi: 10078 t0: [13:00:00 21/03/2020] tf: [12:00:00 24/03/2020] mn: Furosemide pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label
id: Urine Out Foley t0: [12:00:00 21/03/2020] el: 1 cg: CoWker cu: CSRU vo: 190 vu: ml
id: Pain Present t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Prophylaxis t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: Education Barrier t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Education Readiness t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Family Communication t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Fam Talked to RN st: NotStopd id: GCS Total t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI#2 Tube Stat/Drain t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: HOB t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Atrial Fib st: NotStopd id: Heart Rhythm t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 20 n2: 20 st: NotStopd id: IV #1 Site/Size t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: IV Site Appear #1 t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity Tolerance t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Level of Conscious t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Oral Cavity t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Position t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 18 n2: 18 st: NotStopd id: PressureReduceDevice t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Pan Cultured st: NotStopd id: Respiratory Pattern t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Copious st: NotStopd id: Stool Color/Consist t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: Temp. Site t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Therapeutic Bed t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5/.45NS t0: [11:30:00 21/03/2020] el: 1 ai: 112 cg: RN cu: CSRU vo: 500 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [12:00:00 21/03/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 25 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [13:00:00 21/03/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 25 vu: ml id: Urine Out Foley t0: [11:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: Amiodarone t0: [12:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [13:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 21/03/2020] el: 3 cg: RN cu: CSRU pv: 25 cv: 3452.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 21/03/2020] el: 3 cg: RN cu: CSRU pv: 240 cv: 240 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 21/03/2020] el: 3 cg: RN cu: CSRU pv: 240 cv: 3470 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 21/03/2020] el: 3 cg: RN cu: CSRU pv: 240 cv: 4820 ac: 24 ap: none re: 0
id: Eye Care t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Temperature C (calc) t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd
id: Cough Effort t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: LLL Lung Sounds t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: RLL Lung Sounds t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Respiratory Pattern t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd
id: TF Residual t0: [13:00:00 21/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 5 vu: ml id: Free Water Bolus t0: [13:00:00 21/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 130 vu: ml id: Tube Feeding t0: [13:00:00 21/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 45 vu: ml st: Restart
id: 24h Total In t0: [23:00:00 21/03/2020] el: 3 cg: RN cu: CSRU pv: 25 cv: 5402.5 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 21/03/2020] el: 3 cg: RN cu: CSRU cv: 1100 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 21/03/2020] el: 3 cg: RN cu: CSRU cv: 850 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 21/03/2020] el: 3 cg: RN cu: CSRU pv: -215 cv: 582.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 21/03/2020] el: 3 cg: RN cu: CSRU pv: -215 cv: 4523.45 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 21/03/2020] el: 3 cg: RN cu: CSRU pv: -215 cv: -215 ac: 1 ap: none re: 0
id: D5W 100.0ml + 100mghr Lasix t0: [13:00:00 21/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [13:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Lasix t0: [13:00:00 21/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: BUN t0: [12:10:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 59 n1: 59 rs: Final st: NotStopd id: Calcium t0: [12:10:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [12:10:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [12:10:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Glucose t0: [12:10:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 308 n1: 308 rs: Final st: NotStopd id: Magnesium t0: [12:10:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [12:10:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [12:10:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [12:10:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [12:10:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 59 n1: 59 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [12:10:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [12:10:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 rs: Final st: NotStopd id: Chloride (100-112) t0: [12:10:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [12:10:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [12:10:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 308 n1: 308 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [12:10:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [12:10:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [12:10:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [12:10:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 141 n1: 141 rs: Final st: NotStopd
io: Tube Feeding 999.0ml el: 1 cg: RN cu: CSRU lo: PO / NG ra: 45 ru: ml/hr
id: Service Type t0: [14:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Family Communication t0: [14:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: FiO2 Set t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: FiO2 Set t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Heart Rate t0: [14:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [14:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: NBP t0: [14:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [11:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [13:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: Precautions t0: [14:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [14:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Side Rails t0: [14:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [14:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [13:00:00 21/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml t0: [14:00:00 21/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [14:00:00 21/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 45 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [14:00:00 21/03/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 25 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [14:00:00 21/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [14:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 170 vu: ml
id: Amiodarone t0: [14:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lasix t0: [14:00:00 21/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Eye Opening t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: Heart Rate t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: Activity Tolerance t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Level of Conscious t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Assistance Device t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Hoyer st: NotStopd id: Precautions t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 25 n1: 25 u1: BPM st: NotStopd id: Skin Integrity t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Copious st: NotStopd id: Support Systems t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Therapeutic Bed t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Verbal Response t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [15:00:00 21/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 45 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [15:00:00 21/03/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 25 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [15:00:00 21/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [15:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Amiodarone t0: [15:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lasix t0: [15:00:00 21/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Ectopy Frequency t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Temp. Site t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: calprevflg t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Code Status t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Activity t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: NBP t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Respiratory Rate t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temperature C (calc) t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Fingerstick Glucose t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [16:00:00 21/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 45 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [16:00:00 21/03/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 25 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [16:00:00 21/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [16:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 280 vu: ml
id: Amiodarone t0: [16:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lasix t0: [16:00:00 21/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Pain Present t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: FiO2 Set t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: O2 Delivery Device t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: Sputum Color/Consist t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Small st: NotStopd
id: TF Residual t0: [16:00:00 21/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: Free Water Bolus t0: [16:00:00 21/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Edema Location/Amt#1 t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: GI#2 Intub Site t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI Intub #2/Site t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Heart Rate t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #1 Insert Date t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 20 n2: 20 st: NotStopd id: IV #1 Site/Size t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: Activity t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: IV Site Appear #1 t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Level of Conscious t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: NBP t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Oral Cavity t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Precautions t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 18 n2: 18 st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Side Rails t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Stool Color/Consist t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: Urine Color/Appear t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Fingerstick Glucose t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 rs: Manual st: NotStopd id: Bowel Sounds t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [17:00:00 21/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 45 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [17:00:00 21/03/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 25 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [17:00:00 21/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 15 vu: ml
id: Amiodarone t0: [17:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Lasix t0: [17:00:00 21/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: LLL Lung Sounds t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Precautions t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Respiratory Rate t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % st: NotStopd id: calprevflg t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [18:00:00 21/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 45 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [18:00:00 21/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 15 vu: ml
id: Lasix t0: [18:00:00 21/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
pi: 4444172 hi: 10078 t0: [19:00:00 21/03/2020] tf: [18:00:00 22/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml D5 1/2NS Bolus 2500 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4444173 hi: 10078 t0: [20:00:00 21/03/2020] tf: [20:00:00 01/04/2020] mn: Amiodarone HCl pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Stool Out Stool t0: [18:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 500 vu: ml id: Urine Out Foley t0: [18:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 500 vu: ml
id: Chest PT R/L t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Cough/Deep Breathe t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Education Barrier t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: HOB t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: LLL Lung Sounds t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: NBP t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Position t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Hoyer st: NotStopd id: PressureReduceDevice t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: RLL Lung Sounds t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Respiratory Pattern t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Tachypneic st: NotStopd id: Skin Care t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Sputum Color/Consist t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Small st: NotStopd id: Therapeutic Bed t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Dorsal PedPulse R/L t0: [17:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Eye Opening t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 3 To speech st: NotStopd id: Follows Commands t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: points st: NotStopd id: Level of Conscious t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Verbal Response t0: [18:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd
id: Fingerstick Glucose t0: [18:30:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 rs: Manual st: NotStopd
id: Service Type t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: Heart Rate t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Side Rails t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: calprevflg t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [19:00:00 21/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 45 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [18:00:00 21/03/2020] el: 1 ai: 304 cg: RN cu: CSRU vo: 12.5 vu: ml id: D5W 250.0ml + 600mgmin Amiodarone t0: [19:00:00 21/03/2020] el: 1 ai: 304 cg: RN cu: CSRU vu: ml st: Stopped id: D5W 100.0ml + 100mghr Lasix t0: [19:00:00 21/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 15 vu: ml
id: Amiodarone t0: [18:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 0.5 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip id: Amiodarone t0: [19:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 0 do: 1 du: mgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Lasix t0: [19:00:00 21/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Small st: NotStopd
id: TF Residual t0: [19:00:00 21/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: Free Water Bolus t0: [19:00:00 21/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [19:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: D5W 250.0ml + 600mgmin Amiodarone t0: [19:01:00 21/03/2020] el: 1 ai: 304 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: O2 Delivery Device t0: [20:00:00 21/03/2020] el: 0 cg: RRT cu: CSRU v1: Hi Flow Neb st: NotStopd id: Sputum Color/Consist t0: [20:00:00 21/03/2020] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 21/03/2020] el: 0 cg: RRT cu: CSRU v1: Expectorated v2: Small st: NotStopd
id: Fingerstick Glucose t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: GI Prophylaxis t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Frequency t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: GI#2 Intub Site t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Education Topic #1 t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped st: NotStopd id: Heart Rate t0: [20:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: IV #1 D/C Date t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 20 n2: 20 st: NotStopd id: IV #1 Insert Date t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 20 n2: 20 st: NotStopd id: IV #1 Site/Size t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: RL Ant Forearm v2: 20 gauge st: NotStopd id: LUL Lung Sounds t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 93 n2: 93 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: Oral Cavity t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Position Change t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [20:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 18 n2: 18 st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RUL Lung Sounds t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [20:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Type t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [20:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Stool Color/Consist t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Rectal Tube st: NotStopd id: Support Systems t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: Temp. Site t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [20:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 21/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [20:00:00 21/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 45 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [20:00:00 21/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 15 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [21:00:00 21/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [20:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 130 vu: ml
id: Lasix t0: [20:00:00 21/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Lasix t0: [21:00:00 21/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [22:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [22:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 121 n1: 121 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [22:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [21:00:00 21/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 45 vu: ml st: Stopped id: D5W 100.0ml + 100mghr Lasix t0: [22:00:00 21/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [22:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 340 vu: ml
id: Lasix t0: [22:00:00 21/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [22:30:00 21/03/2020] el: 0 cg: RRT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:30:00 21/03/2020] el: 0 cg: RRT cu: CSRU v1: Nasotracheal Sxn v2: Small st: NotStopd
id: IV #1 D/C Date t0: [00:00:00 22/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 Insert Date t0: [00:00:00 22/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV #1 Site/Size t0: [00:00:00 22/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: IV Site Appear #1 t0: [00:00:00 22/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd
id: Potassium t0: [23:05:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [23:05:00 21/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: bath t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: done id: Pain Assess Method t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Cough/Deep Breathe t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [22:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [23:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Prophylaxis t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: GI#2 Intub Site t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Education Topic #1 t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Care t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: FiO2 Set t0: [22:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Follows Commands t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Bilious st: NotStopd id: HOB t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: HOB t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Lethargic st: NotStopd id: Motor Response t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 135 n1: 135 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [22:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Oral Care t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Position t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 18 n2: 18 st: NotStopd id: PressureReduceDevice t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: PressureReduceDevice t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Pattern t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Integrity t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: % st: NotStopd id: SpO2 t0: [23:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Stool Color/Consist t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Rectal Tube st: NotStopd id: Support Systems t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: Temp. Site t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Insulin Guideline t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Fingerstick Glucose t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: TF Residual t0: [00:00:00 22/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 21/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [00:00:00 22/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [00:00:00 22/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 15 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [23:00:00 21/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [00:00:00 22/03/2020] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [23:00:00 21/03/2020] el: 1 cg: RN cu: CSRU vo: 240 vu: ml
id: Lasix t0: [00:00:00 22/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Lasix t0: [23:00:00 21/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [01:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [01:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [01:00:00 22/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 45 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [01:00:00 22/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [01:00:00 22/03/2020] el: 1 cg: RN cu: CSRU vo: 240 vu: ml
id: Lasix t0: [01:00:00 22/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Position Change t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [02:00:00 22/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 45 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [02:00:00 22/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 22/03/2020] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: Lasix t0: [02:00:00 22/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: FiO2 Set t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: NBP t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Sputum Color/Consist t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd
id: D5W 100.0ml t0: [02:00:00 22/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Lasix t0: [02:30:00 22/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [03:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Nonproductive st: NotStopd id: Cough/Deep Breathe t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [03:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Prophylaxis t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [03:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: GI#2 Intub Site t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: Education Topic #1 t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Follows Commands t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: PEJ v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [03:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Venti Mask st: NotStopd id: Oral Care t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Position t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 18 n2: 18 st: NotStopd id: PressureReduceDevice t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [03:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Thick st: NotStopd id: Stool Color/Consist t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Rectal Tube st: NotStopd id: Support Systems t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: Temp. Site t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [03:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: TF Residual t0: [04:00:00 22/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [03:00:00 22/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 45 vu: ml id: Tube Feeding 999.0ml t0: [04:00:00 22/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 50 vu: ml id: Free Water Bolus t0: [04:00:00 22/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 60 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [03:00:00 22/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 12.5 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [04:00:00 22/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [04:00:00 22/03/2020] el: 1 cg: RN cu: CSRU vo: 240 vu: ml
id: Lasix t0: [03:00:00 22/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Lasix t0: [04:00:00 22/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: FiO2 Set t0: [05:00:00 22/03/2020] el: 0 cg: RRT cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: O2 Flow (lpm) #2 t0: [05:00:00 22/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: SpO2 t0: [05:00:00 22/03/2020] el: 0 cg: RRT cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [05:00:00 22/03/2020] el: 0 cg: RRT cu: CSRU v1: Yellow v2: Thick st: NotStopd
id: WBC (4-11,000) t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 20.1 n1: 20.1 rs: Final st: NotStopd id: WBC t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 20.1 n1: 20.1 rs: Final st: NotStopd id: Hematocrit t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 26.8 n1: 26.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 419 n1: 419 rs: Final st: NotStopd id: RBC t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.39 n1: 3.39 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 20.1 n1: 20.1 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 22/03/2020] 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 22/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: calprevflg t0: [05:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [05:00:00 22/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [05:00:00 22/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 15 vu: ml
id: Lasix t0: [05:00:00 22/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Sputum Source/Amt t0: [00:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Small st: NotStopd id: Sputum Source/Amt t0: [02:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Small st: NotStopd id: Sputum Source/Amt t0: [04:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Small st: NotStopd id: Sputum Source/Amt t0: [05:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Small st: NotStopd id: Sputum Source/Amt t0: [21:00:00 21/03/2020] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd
id: BUN t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 58 n1: 58 rs: Final st: NotStopd id: Calcium t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Glucose t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 92 n1: 92 rs: Final st: NotStopd id: Magnesium t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: BUN (6-20) t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 58 n1: 58 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3 n1: 3 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 92 n1: 92 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:20:00 22/03/2020] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd
pi: 4445297 hi: 10078 t0: [07:00:00 22/03/2020] tf: [06:00:00 23/03/2020] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [07:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [07:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [07:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [07:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: NBP t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position Change t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [07:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 22/03/2020] 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 22/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [07:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: INV#1 Cap Change t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: calprevflg t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Fingerstick Glucose t0: [06:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 141 n1: 141 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [06:00:00 22/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [06:00:00 22/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 15 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [07:00:00 22/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [06:00:00 22/03/2020] el: 1 cg: RN cu: CSRU vo: 350 vu: ml id: Urine Out Foley t0: [07:00:00 22/03/2020] el: 1 cg: RN cu: CSRU vo: 270 vu: ml
id: Lasix t0: [06:00:00 22/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Lasix t0: [07:00:00 22/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 22/03/2020] el: 3 cg: RN cu: CSRU cv: 570 ac: 24 ap: none re: 0
id: Tube Feeding 999.0ml t0: [06:00:00 22/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Tube Feeding 999.0ml t0: [07:00:00 22/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml
id: Ectopy Frequency t0: [07:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [07:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rhythm t0: [07:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml nb: 1 id: Tube Feeding 999.0ml t0: [00:00:00 22/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 40 vu: ml nb: 1 st: NotStopd
id: D5/.45NS t0: [09:00:00 22/03/2020] el: 1 ai: 112 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Chest PT R/L t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough/Deep Breathe t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Prophylaxis t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: Eye Care t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: HOB t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: Activity Tolerance t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Activity Tolerance t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Level of Conscious t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Oral Care t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Position t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Hoyer st: NotStopd id: Precautions t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 21 n2: 21 st: NotStopd id: PressureReduceDevice t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Small st: NotStopd id: Stool Color/Consist t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: Temp. Site t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [07:00:00 22/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vu: ml id: D5W 50.0ml t0: [07:00:00 22/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 50.0ml t0: [08:00:00 22/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 50 vu: ml id: D5W 50.0ml t0: [09:00:00 22/03/2020] el: 1 ai: 109 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [08:00:00 22/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml st: Stopped id: D5W 100.0ml + 100mghr Lasix t0: [08:00:00 22/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 12 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [09:00:00 22/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 12 vu: ml id: Urine Out Foley t0: [09:00:00 22/03/2020] el: 1 cg: RN cu: CSRU vo: 500 vu: ml
id: Lasix t0: [08:00:00 22/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Lasix t0: [09:00:00 22/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 12 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Tube Feeds In Total t0: [23:00:00 22/03/2020] el: 3 cg: RN cu: CSRU pv: 55 cv: 950 ac: 24 ap: none re: 0
id: FiO2 Set t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: O2 Delivery Device t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) #2 t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: Level of Conscious t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Position Change t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 22/03/2020] 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 22/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: calprevflg t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [09:00:00 22/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Cough Effort t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: LUL Lung Sounds t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: NBP t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: RUL Lung Sounds t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd
id: Sputum Color/Consist t0: [10:00:00 22/03/2020] el: 0 cg: RT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 22/03/2020] el: 0 cg: RT cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd
id: Education Barrier t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Method t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd
id: Eye Opening t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: Motor Response t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Verbal Response t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd
id: D5W 100.0ml + 100mghr Lasix t0: [10:00:00 22/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 8 vu: ml id: Urine Out Foley t0: [10:00:00 22/03/2020] el: 1 cg: RN cu: CSRU vo: 230 vu: ml
id: Lasix t0: [10:00:00 22/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Heart Rate t0: [11:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [11:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: Precautions t0: [11:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Lasix t0: [11:00:00 22/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Aggitation t0: [11:00:00 22/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: Anxiety t0: [11:00:00 22/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: Ataxia t0: [11:00:00 22/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: Auditory Disturbance t0: [11:00:00 22/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: CIWA Sum Total t0: [11:00:00 22/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: Drowsiness t0: [11:00:00 22/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: Headache t0: [11:00:00 22/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: Insomnia t0: [11:00:00 22/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: Nausea and Vomiting t0: [11:00:00 22/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: Orient/Clouding Sens t0: [11:00:00 22/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: Paroxysmal Sweats t0: [11:00:00 22/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: Seizure t0: [11:00:00 22/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: Slurred Speech t0: [11:00:00 22/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: Sustained Nystamus t0: [11:00:00 22/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tactile Disturbances t0: [11:00:00 22/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: Tremor t0: [11:00:00 22/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd id: Visual Disturbances t0: [11:00:00 22/03/2020] el: 0 cg: -1 cu: CSRU st: D/C'd
id: GI Prophylaxis t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Diet Type t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Abdominal Assessment t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: NBP t0: [11:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Oral Cavity t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Urine Color/Appear t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Bowel Sounds t0: [10:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml + 100mghr Lasix t0: [11:00:00 22/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 8 vu: ml id: Urine Out Foley t0: [11:00:00 22/03/2020] el: 1 cg: RN cu: CSRU vo: 140 vu: ml
id: QTc t0: [11:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 0.49 n1: 0.49 u1: sec st: NotStopd
id: FiO2 Set t0: [11:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: O2 Delivery Device t0: [11:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) #2 t0: [11:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: Education Barrier t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Patient/Sig Othr st: NotStopd id: Education Learner t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [09:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: Heart Rate t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Level of Conscious t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Oral Cavity t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Position Change t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 22/03/2020] el: 0 cg: RT cu: CSRU v1: White v2: Frothy st: NotStopd id: Sputum Source/Amt t0: [12:00:00 22/03/2020] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Copious st: NotStopd id: Support Systems t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 36.2778 n1: 36.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 97.3 n1: 97.3 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Activity t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: LUL Lung Sounds t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: RUL Lung Sounds t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd
id: D5W 100.0ml + 100mghr Lasix t0: [12:00:00 22/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 5 vu: ml
id: Lasix t0: [12:00:00 22/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Stool Color/Consist t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd
id: Urine Out Foley t0: [12:00:00 22/03/2020] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: Cough Effort t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Cough Type t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: LLL Lung Sounds t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: RLL Lung Sounds t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: Bowel Sounds t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd
id: Service Type t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Chest PT R/L t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Code Status t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough/Deep Breathe t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Risk for Falls t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Education Barrier t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: Education Readiness t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Family Communication t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Family Communication t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Fam Talked to RN st: NotStopd id: Heart Rate t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Activity t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: NBP t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 22/03/2020] 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 22/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Skin Care t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: INV#1 Cap Change t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: Back Care t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [13:00:00 22/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vu: ml st: Stopped id: Urine Out Foley t0: [13:00:00 22/03/2020] el: 1 cg: RN cu: CSRU vo: 220 vu: ml
id: Lasix t0: [13:00:00 22/03/2020] el: 2 cg: RN cu: CSRU vo: 0 du: mghr so: D5W sv: 100 su: ml rt: IV Drip st: Stopped
id: IV Infusion In Total t0: [23:00:00 22/03/2020] el: 3 cg: RN cu: CSRU pv: 10 cv: 747.5 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 22/03/2020] el: 3 cg: RN cu: CSRU pv: 65 cv: 2267.5 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 22/03/2020] el: 3 cg: RN cu: CSRU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 22/03/2020] el: 3 cg: RN cu: CSRU cv: 3220 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 22/03/2020] el: 3 cg: RN cu: CSRU pv: 65 cv: -2252.5 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 22/03/2020] el: 3 cg: RN cu: CSRU pv: 65 cv: 2270.95 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 22/03/2020] el: 3 cg: RN cu: CSRU pv: 65 cv: 65 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 22/03/2020] el: 3 cg: RN cu: CSRU cv: 4520 ac: 24 ap: none re: 0
id: LLL Lung Sounds t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: RLL Lung Sounds t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Radiologic Study t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Chest Xray st: NotStopd id: Respiratory Pattern t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Sputum Color/Consist t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Ectopy Type t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Family Communication t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Fam Talked to MD st: NotStopd id: Family Communication t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: FiO2 Set t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: FiO2 Set t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: Heart Rate t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: NBP t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) #2 t0: [12:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Position Change t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 22/03/2020] 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 22/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Removed x 5 Mins t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: % st: NotStopd id: SpO2 t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Support Systems t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: calprevflg t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [14:00:00 22/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: TF Residual t0: [14:00:00 22/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 35 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [15:00:00 22/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 35 vu: ml id: Free Water Bolus t0: [14:00:00 22/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [14:00:00 22/03/2020] el: 1 cg: RN cu: CSRU vo: 120 vu: ml id: Urine Out Foley t0: [15:00:00 22/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Tube Feeding 999.0ml t0: [14:00:00 22/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 35 vu: ml nb: 1
id: Activity t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd
id: Chest PT R/L t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Cough/Deep Breathe t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Care t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks st: NotStopd id: Cough Type t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: GI Prophylaxis t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Ectopy Frequency t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: Education Barrier t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Given st: NotStopd id: Education Learner t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Intub Site t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Intub Site t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Education Topic #2 t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI Intub #2/Site t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI Intub #2/Site t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [13:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: GI#2 Tube Stat/Drain t0: [14:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Bilious st: NotStopd id: GI#2 Tube Stat/Drain t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: LLL Lung Sounds t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Oral Cavity t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Position Change t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Rhonchi st: NotStopd id: Reason For Restraint t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Removed x 5 Mins t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Pale st: NotStopd id: Skin Integrity t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Nasotracheal Sxn v2: Moderate st: NotStopd id: Stool Color/Consist t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: Temp. Site t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Hypoactive st: NotStopd id: Braden Activity t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml
id: Dorsal PedPulse R/L t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd
id: Urine Out Foley t0: [16:00:00 22/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: FiO2 Set t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: O2 Delivery Device t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) #2 t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Sputum Color/Consist t0: [16:00:00 22/03/2020] el: 0 cg: RT cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 22/03/2020] el: 0 cg: RT cu: CSRU v1: Suctioned v2: Moderate st: NotStopd
id: INV Line#1 Type/Site t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 21 n2: 21 st: NotStopd id: INV#1 Cap Change t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd
id: TF Residual t0: [16:00:00 22/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 25 vu: ml id: Gastric Meds t0: [16:00:00 22/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: NBP t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [16:00:00 22/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Tube Feeding 999.0ml t0: [17:00:00 22/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [17:00:00 22/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: HOB t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Good st: NotStopd id: Position t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Hoyer st: NotStopd id: PressureReduceDevice t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: Skin Care t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Chest PT R/L t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done v2: Done st: NotStopd id: Cough/Deep Breathe t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: FiO2 Set t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: O2 Delivery Device t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) #2 t0: [17:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Less Restrict Meas. t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Position Change t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Removed x 5 Mins t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: calprevflg t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [18:00:00 22/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Stool Out Stool t0: [18:00:00 22/03/2020] el: 1 cg: RN cu: CSRU vo: 300 vu: ml id: Urine Out Foley t0: [18:00:00 22/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Sputum Color/Consist t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Suctioned v2: Moderate st: NotStopd id: Fingerstick Glucose t0: [18:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 157 n1: 157 rs: Manual st: NotStopd
id: Stool Out Stool t0: [06:00:00 22/03/2020] el: 1 cg: RN cu: CSRU vo: 1000 vu: ml
id: Stool Out Total t0: [23:00:00 22/03/2020] el: 3 cg: RN cu: CSRU cv: 1300 ac: 24 ap: none re: 0
id: Service Type t0: [19:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [19:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [19:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Nonproductive st: NotStopd id: Cough/Deep Breathe t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Prophylaxis t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: GI#2 Intub Site t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Topic #1 t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: LLL Lung Sounds t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) #2 t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Position Change t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 21 n2: 21 st: NotStopd id: PressureReduceDevice t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Removed x 5 Mins t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Stool Color/Consist t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Rectal Tube st: NotStopd id: Support Systems t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: Temp. Site t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Therapeutic Bed t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 22/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: TF Residual t0: [20:00:00 22/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [19:00:00 22/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Tube Feeding 999.0ml t0: [20:00:00 22/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Free Water Bolus t0: [20:00:00 22/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [20:00:00 22/03/2020] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: Service Type t0: [21:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [21:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [21:00:00 22/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml
id: Less Restrict Meas. t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: FiO2 Set t0: [21:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 0.36 n1: 0.36 u1: torr st: NotStopd id: FiO2 Set t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 0.36 n1: 0.36 u1: torr st: NotStopd id: Heart Rate t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [21:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Delivery Device t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) #2 t0: [21:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Position Change t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Removed x 5 Mins t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Color/Consist t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: calprevflg t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [22:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [22:00:00 22/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [22:00:00 22/03/2020] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: Less Restrict Meas. t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [01:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [23:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Nonproductive st: NotStopd id: GI Prophylaxis t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: GI#2 Intub Site t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Topic #1 t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 0.35 n1: 0.35 u1: torr st: NotStopd id: Follows Commands t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Heart Rate t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) #2 t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Position Change t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [01:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Removed x 5 Mins t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [01:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thin st: NotStopd id: Sputum Source/Amt t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks v2: Small st: NotStopd id: Stool Color/Consist t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Rectal Tube st: NotStopd id: Support Systems t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: Temp. Site t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Temperature F t0: [20:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [00:00:00 23/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 23/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 22/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [00:00:00 23/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml nb: 1 id: Tube Feeding 999.0ml t0: [23:00:00 22/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Free Water Bolus t0: [00:00:00 23/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [00:00:00 23/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: HOB t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd
id: Fingerstick Glucose t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 170 n1: 170 rs: Manual st: NotStopd
id: D5W 50.0ml t0: [02:00:00 23/03/2020] el: 1 ai: 109 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Less Restrict Meas. t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: FiO2 Set t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 0.36 n1: 0.36 u1: torr st: NotStopd id: Heart Rate t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) #2 t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Position Change t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Removed x 5 Mins t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: D5W 100.0ml t0: [02:00:00 23/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 23/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 23/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [01:00:00 23/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Tube Feeding 999.0ml t0: [02:00:00 23/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [02:00:00 23/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Service Type t0: [03:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Temperature C (calc) t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: calprevflg t0: [03:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: bath t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: done id: Pain Assess Method t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Circulation/SkinInt t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Nonproductive st: NotStopd id: Cough/Deep Breathe t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Cough/Deep Breathe t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI Prophylaxis t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Diff to Palpate st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: GI#2 Intub Site t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Topic #1 t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Care t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 0.36 n1: 0.36 u1: torr st: NotStopd id: Follows Commands t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Level of Conscious t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [01:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 140 n1: 140 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 22/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) #2 t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Care t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Orientation t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Position t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 21 n2: 21 st: NotStopd id: PressureReduceDevice t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: PressureReduceDevice t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: RLL Lung Sounds t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Removed x 5 Mins t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Color/Consist t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Expectorated v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Other/Remarks v2: Scant st: NotStopd id: Stool Color/Consist t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Rectal Tube st: NotStopd id: Support Systems t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 22 n2: 22 st: NotStopd id: Therapeutic Bed t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Therapeutic Bed t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Insulin Guideline t0: [00:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: On Guideline st: NotStopd id: Pt./Family Informed t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [04:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: TF Residual t0: [04:00:00 23/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 23/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 23/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml nb: 1 id: Tube Feeding 999.0ml t0: [03:00:00 23/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Tube Feeding 999.0ml t0: [04:00:00 23/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Free Water Bolus t0: [04:00:00 23/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 30 vu: ml id: Urine Out Foley t0: [04:00:00 23/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: WBC (4-11,000) t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 17.3 n1: 17.3 rs: Final st: NotStopd id: WBC t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 17.3 n1: 17.3 rs: Final st: NotStopd id: Hematocrit t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 27.1 n1: 27.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.1 n1: 8.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 416 n1: 416 rs: Final st: NotStopd id: RBC t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.45 n1: 3.45 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 17.3 n1: 17.3 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [05:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 23/03/2020] 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 23/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 23/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [05:00:00 23/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml
id: BUN t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 58 n1: 58 rs: Final st: NotStopd id: Calcium t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Glucose t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Magnesium t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd id: BUN (6-20) t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 58 n1: 58 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 31 n1: 31 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.1 n1: 3.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 110 n1: 110 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.4 n1: 2.4 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.1 n1: 4.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:52:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 146 n1: 146 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: FiO2 Set t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 0.36 n1: 0.36 u1: torr st: NotStopd id: Heart Rate t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 125 n1: 125 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) #2 t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Position Change t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 23/03/2020] 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 23/03/2020] el: 0 cg: RN cu: CSRU v1: Agitated st: NotStopd id: Removed x 5 Mins t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Fingerstick Glucose t0: [06:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 151 n1: 151 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 23/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [06:00:00 23/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml
id: O2 Delivery Device t0: [06:30:00 23/03/2020] el: 0 cg: RRT cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) #2 t0: [06:30:00 23/03/2020] el: 0 cg: RRT cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd
id: Urine Out Foley t0: [06:00:00 23/03/2020] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Art.pH t0: [06:45:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.48 n1: 7.48 rs: Final st: NotStopd id: Arterial Base Excess t0: [06:45:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:45:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 33 n1: 33 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:45:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:45:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 72 n1: 72 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:45:00 23/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.48 n1: 7.48 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [07:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Nonproductive st: NotStopd id: Daily Wake Up t0: [08:00:00 23/03/2020] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: Education Barrier t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Education Topic #2 t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Heart Rate t0: [07:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 123 n1: 123 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Hi Flow Neb st: NotStopd id: O2 Flow (lpm) #2 t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position Change t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [07:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 23/03/2020] 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 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [07:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: % st: NotStopd id: Stool Color/Consist t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Rectal Tube st: NotStopd id: Support Systems t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [07:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [08:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [08:00:00 23/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: TF Residual t0: [08:00:00 23/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 23/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 23/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [07:00:00 23/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Tube Feeding 999.0ml t0: [08:00:00 23/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [08:00:00 23/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Lasix t0: [08:00:00 23/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 23/03/2020] 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 23/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 23/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 23/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 60 vu: ml id: Tube Feeding 999.0ml t0: [09:00:00 23/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [08:00:00 23/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 0 vu: ml nb: 1 id: D5W 100.0ml + 100mghr Lasix t0: [09:00:00 23/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [09:00:00 23/03/2020] el: 1 cg: RN cu: CSRU vo: 40 vu: ml
id: Lasix t0: [09:00:00 23/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 131 n1: 131 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 23/03/2020] 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 23/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 23/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [10:00:00 23/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [10:00:00 23/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [10:00:00 23/03/2020] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Lasix t0: [10:00:00 23/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Heart Rate t0: [11:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 182 n1: 182 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [11:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 23/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [11:00:00 23/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [11:00:00 23/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [11:00:00 23/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Lasix t0: [11:00:00 23/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [11:00:00 23/03/2020] el: 0 cg: RT cu: CSRU v1: Clear v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 23/03/2020] el: 0 cg: RT cu: CSRU v1: Nasotracheal Sxn v2: Scant st: NotStopd
id: Cough/Deep Breathe t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Care t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Oral Care t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: Skin Care t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [09:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Daily Wake Up t0: [12:00:00 23/03/2020] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: GI#2 Intub Site t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Heart Rate t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Oral Cavity t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pain Location t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position Change t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 23/03/2020] 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 23/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Stool Color/Consist t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Rectal Tube st: NotStopd id: Support Systems t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Fingerstick Glucose t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 195 n1: 195 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Sl. Limited st: NotStopd
id: TF Residual t0: [12:00:00 23/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 23/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [12:00:00 23/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Free Water Bolus t0: [12:00:00 23/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [12:00:00 23/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [12:00:00 23/03/2020] el: 1 cg: RN cu: CSRU vo: 90 vu: ml
id: Lasix t0: [12:00:00 23/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 23/03/2020] el: 3 cg: RN cu: CSRU cv: 590 ac: 24 ap: none re: 0
pi: 4448575 hi: 10078 t0: [08:00:00 24/03/2020] tf: [00:00:00 25/03/2020] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 24H ds: 8 dn: 1 dt: 8 di: Days xv: 36 xu: Hours pi: 4448578 hi: 10078 t0: [22:00:00 23/03/2020] tf: [12:00:00 25/03/2020] mn: Warfarin pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [13:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough/Deep Breathe t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Risk for Falls t0: [13:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [13:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) #2 t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Position t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: PressureReduceDevice t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 23/03/2020] 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 23/03/2020] el: 0 cg: RN cu: CSRU v1: 12 n1: 12 u1: BPM st: NotStopd id: Skin Care t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [13:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: % st: NotStopd id: Therapeutic Bed t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [12:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [13:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 23/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [13:00:00 23/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [13:00:00 23/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 5 vu: ml id: Urine Out Foley t0: [13:00:00 23/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Lasix t0: [13:00:00 23/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: D5W 100.0ml t0: [14:00:00 23/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml
id: Less Restrict Meas. t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Service Type t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position Change t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 23/03/2020] 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 23/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Rate t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [10:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Behavior t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [14:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 23/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [14:00:00 23/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [14:00:00 23/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 7 vu: ml id: Urine Out Foley t0: [14:00:00 23/03/2020] el: 1 cg: RN cu: CSRU vo: 340 vu: ml
id: Lasix t0: [14:00:00 23/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [15:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 23/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [15:00:00 23/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Free Water Bolus t0: [15:00:00 23/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 80 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [15:00:00 23/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 7 vu: ml
id: Lasix t0: [15:00:00 23/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 7 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Urine Out Foley t0: [15:00:00 23/03/2020] el: 1 cg: RN cu: CSRU vo: 80 vu: ml
id: Less Restrict Meas. t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Daily Wake Up t0: [16:00:00 23/03/2020] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: Education Barrier t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Education Topic #2 t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Care t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Heart Rate t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: Activity Tolerance t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) #2 t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 5 n1: 5 u1: lpm st: NotStopd id: Oral Care t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pain Location t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 21 n2: 21 st: NotStopd id: PressureReduceDevice t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Stool Color/Consist t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Rectal Tube st: NotStopd id: Support Systems t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [16:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 23/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml st: Stopped id: Tube Feeding 999.0ml t0: [16:00:00 23/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml st: Stopped id: D5W 100.0ml + 100mghr Lasix t0: [16:00:00 23/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 7 vu: ml
id: Lasix t0: [16:00:00 23/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Gastric Meds t0: [16:00:00 23/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 60 vu: ml
id: Service Type t0: [17:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [17:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml + 100mghr Lasix t0: [17:00:00 23/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 8 vu: ml id: Urine Out Foley t0: [17:00:00 23/03/2020] el: 1 cg: RN cu: CSRU vo: 200 vu: ml
id: Lasix t0: [17:00:00 23/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Precautions t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 23/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml st: Restart id: D5W 100.0ml + 100mghr Lasix t0: [18:00:00 23/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 8 vu: ml id: Stool Out Stool t0: [18:00:00 23/03/2020] el: 1 cg: RN cu: CSRU vo: 800 vu: ml id: Urine Out Foley t0: [18:00:00 23/03/2020] el: 1 cg: RN cu: CSRU vo: 150 vu: ml
id: Lasix t0: [18:00:00 23/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 23/03/2020] el: 3 cg: RN cu: CSRU cv: 800 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Range of Motion t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Circulation/SkinInt t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Cough/Deep Breathe t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Eye Care t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: HOB t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Activity t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 113 n1: 113 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Oral Care t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Position Change t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Assistance Device t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: Reason For Restraint t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Restraint Location t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Therapeutic Bed t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Behavior t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd
id: Service Type t0: [19:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [19:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 23/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Free Water Bolus t0: [18:00:00 23/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [19:00:00 23/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 8 vu: ml id: Urine Out Foley t0: [19:00:00 23/03/2020] el: 1 cg: RN cu: CSRU vo: 110 vu: ml
id: Lasix t0: [19:00:00 23/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [18:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 173 n1: 173 rs: Manual st: NotStopd
id: D5W 100.0ml t0: [19:00:00 23/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml
id: Less Restrict Meas. t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Daily Wake Up t0: [20:00:00 23/03/2020] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: GI#2 Intub Site t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube Stat/Drain t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 15 degrees st: NotStopd id: Heart Rate t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Oral Cavity t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Pain Location t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 21 n2: 21 st: NotStopd id: PressureReduceDevice t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Stool Color/Consist t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Green v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 23/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [20:00:00 23/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 8 vu: ml id: Urine Out Foley t0: [20:00:00 23/03/2020] el: 1 cg: RN cu: CSRU vo: 300 vu: ml
id: Lasix t0: [20:00:00 23/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 8 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
pi: 4450913 hi: 10078 t0: [22:00:00 23/03/2020] tf: [02:00:00 26/03/2020] mn: traZODONE HCl pt: Unit Dose st: Discontinued rt: PO fr: HS:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [21:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 133 n1: 133 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Precautions t0: [21:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [21:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [21:00:00 23/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 23/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 23/03/2020] el: 1 cg: RN cu: CSRU vo: 220 vu: ml
id: Service Type t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 132 n1: 132 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 23/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 23/03/2020] el: 1 cg: RN cu: CSRU vo: 220 vu: ml
id: Lasix t0: [21:00:00 23/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Lasix t0: [21:30:00 23/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Lasix t0: [22:00:00 23/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Alarms t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd
id: TF Residual t0: [22:00:00 23/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [22:00:00 23/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 60 vu: ml id: Tube Feeding 999.0ml t0: [22:00:00 23/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [21:00:00 23/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 10 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [22:00:00 23/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 15 vu: ml
id: Service Type t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: calprevflg t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 23/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [23:00:00 23/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [23:00:00 23/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [23:00:00 23/03/2020] el: 1 cg: RN cu: CSRU vo: 290 vu: ml
id: Lasix t0: [23:00:00 23/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 23/03/2020] el: 3 cg: RN cu: CSRU pv: 25 cv: 848 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 23/03/2020] el: 3 cg: RN cu: CSRU pv: 80 cv: 2483 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 23/03/2020] el: 3 cg: RN cu: CSRU pv: 290 cv: 290 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 23/03/2020] el: 3 cg: RN cu: CSRU pv: 55 cv: 1045 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 23/03/2020] el: 3 cg: RN cu: CSRU pv: 290 cv: 2820 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 23/03/2020] el: 3 cg: RN cu: CSRU pv: -210 cv: -1137 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 23/03/2020] el: 3 cg: RN cu: CSRU pv: -210 cv: 1133.95 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 23/03/2020] el: 3 cg: RN cu: CSRU pv: -210 cv: -210 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 23/03/2020] el: 3 cg: RN cu: CSRU pv: 290 cv: 3620 ac: 24 ap: none re: 0
pi: 4451376 hi: 10078 t0: [10:00:00 24/03/2020] tf: [20:00:00 01/04/2020] mn: Ferrous Sulfate pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Fingerstick Glucose t0: [00:00:00 24/03/2020] el: 0 cg: CoWker cu: CSRU v1: 140 n1: 140 rs: Manual st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [01:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: GI Prophylaxis t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: Education Barrier t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Education Handout t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Understands st: NotStopd id: Education Topic #1 t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Education Topic #2 t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Heart Rate t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP t0: [01:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 118 n1: 118 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Oral Cavity t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pain Location t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position Change t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [01:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [01:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Green v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pt./Family Informed t0: [22:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [00:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [00:00:00 24/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding 999.0ml t0: [00:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Tube Feeding 999.0ml t0: [01:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Free Water Bolus t0: [00:00:00 24/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [00:00:00 24/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 15 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [01:00:00 24/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [00:00:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 180 vu: ml id: Urine Out Foley t0: [01:00:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Lasix t0: [00:00:00 24/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [02:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [02:00:00 24/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [02:00:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
pi: 4451662 hi: 10078 t0: [22:00:00 24/03/2020] tf: [08:00:00 24/03/2020] mn: Tacrolimus pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: QPM ds: 16 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4451664 hi: 10078 t0: [08:00:00 24/03/2020] tf: [08:00:00 24/03/2020] mn: Tacrolimus pt: Unit Dose st: Discontinued rt: PO fr: QAM ds: 4 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4451665 hi: 10078 t0: [08:00:00 24/03/2020] tf: [08:00:00 24/03/2020] mn: Tacrolimus pt: Unit Dose st: Discontinued rt: PO fr: QAM ds: 4 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [03:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [03:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Cough Effort t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: GI Prophylaxis t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [03:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [03:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: GI#2 Intub Site t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [03:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube Stat/Drain t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 120 n1: 120 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Oral Cavity t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pain Location t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Position Change t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Position Change t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [03:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 21 n2: 21 st: NotStopd id: PressureReduceDevice t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: PressureReduceDevice t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [03:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: SpO2 t0: [03:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Stool Color/Consist t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Green v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Relative st: NotStopd id: INV#1 Cap Change t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [23:00:00 23/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [03:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pt./Family Informed t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Bowel Sounds t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [03:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Tube Feeding 999.0ml t0: [04:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [03:00:00 24/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 15 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [04:00:00 24/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 15 vu: ml id: Urine Out Foley t0: [03:00:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 200 vu: ml id: Urine Out Foley t0: [04:00:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 160 vu: ml
id: Gastric Meds t0: [04:00:00 24/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 30 vu: ml id: Free Water Bolus t0: [02:00:00 24/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml id: Free Water Bolus t0: [04:00:00 24/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml
id: WBC (4-11,000) t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 14.5 n1: 14.5 rs: Final st: NotStopd id: WBC t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 14.5 n1: 14.5 rs: Final st: NotStopd id: Hematocrit t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 28.3 n1: 28.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.7 n1: 8.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 425 n1: 425 rs: Final st: NotStopd id: RBC t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 14.5 n1: 14.5 rs: Final st: NotStopd
id: Lasix t0: [01:00:00 24/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 15 du: mghr so: D5W sv: 100 su: ml rt: IV Drip st: Stopped id: Lasix t0: [02:00:00 24/03/2020] el: 2 cg: RN cu: CSRU vo: 0 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Lasix t0: [03:00:00 24/03/2020] el: 2 cg: RN cu: CSRU vo: 0 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Lasix t0: [04:00:00 24/03/2020] el: 2 cg: RN cu: CSRU vo: 0 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: PT t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 14.2 n1: 14.2 rs: Final st: NotStopd id: INR t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PTT t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 31.6 n1: 31.6 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 1.3 n1: 1.3 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 14.2 n1: 14.2 rs: Final st: NotStopd id: PTT(22-35) t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 31.6 n1: 31.6 rs: Final st: NotStopd
id: Calcium t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Glucose t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: Magnesium t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.9 n1: 7.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 145 n1: 145 rs: Final st: NotStopd
id: BUN t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 55 n1: 55 rs: Final st: NotStopd id: BUN (6-20) t0: [03:31:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 55 n1: 55 rs: Final st: NotStopd
id: Fingerstick Glucose t0: [06:00:00 24/03/2020] el: 0 cg: CoWker cu: CSRU v1: 150 n1: 150 rs: Manual st: NotStopd
id: Service Type t0: [04:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [05:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [06:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 116 n1: 116 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP t0: [06:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 122 n1: 122 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 81 n1: 81 u1: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [06:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 24/03/2020] 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 24/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [06:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [04:00:00 24/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [05:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Tube Feeding 999.0ml t0: [06:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Tube Feeding 999.0ml t0: [07:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [05:00:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [06:00:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 55 vu: ml
pi: 4452069 hi: 10078 t0: [20:00:00 24/03/2020] tf: [19:00:00 29/03/2020] mn: Tacrolimus pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [09:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Daily Wake Up t0: [08:00:00 24/03/2020] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: GI#2 Intub Site t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Family Called st: NotStopd id: Follows Commands t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Heart Rate t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Motor Response t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 107 n1: 107 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) #2 t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position Change t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [09:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 2 mm v2: 2 mm st: NotStopd id: RLL Lung Sounds t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: RestraintReapply st: NotStopd id: Side Rails t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [09:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Stool Color/Consist t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Green v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [08:00:00 24/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: TF Residual t0: [09:00:00 24/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [09:00:00 24/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding 999.0ml t0: [08:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Tube Feeding 999.0ml t0: [09:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Free Water Bolus t0: [09:00:00 24/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [09:00:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 75 vu: ml
id: PO/Gastric In Total t0: [23:00:00 24/03/2020] el: 3 cg: RN cu: CSRU cv: 1200 ac: 24 ap: none re: 0
id: Service Type t0: [10:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 24/03/2020] 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 24/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [10:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [10:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [10:00:00 24/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: Urine Out Foley t0: [10:00:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Lasix t0: [10:00:00 24/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: Service Type t0: [11:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 126 n1: 126 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [11:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [11:00:00 24/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 70 vu: ml
id: Lasix t0: [11:00:00 24/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip
id: HOB t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Activity t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Position t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: PressureReduceDevice t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: Therapeutic Bed t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd
id: Pain Present t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Daily Wake Up t0: [12:00:00 24/03/2020] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: GI#2 Intub Site t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Not Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: Heart Rate t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Motor Response t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 130 n1: 130 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 92 n1: 92 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) #2 t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pain Location t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Precautions t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 21 n2: 21 st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 24/03/2020] 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 24/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Stool Color/Consist t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Green v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: INV#1 Cap Change t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [12:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [12:00:00 24/03/2020] el: 2 ai: 354 cg: RN cu: CSRU vo: 10 vu: ml st: Stopped id: Urine Out Foley t0: [12:00:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 120 vu: ml
id: Lasix t0: [12:00:00 24/03/2020] el: 2 cg: RN cu: CSRU vo: 0 do: 10 du: mghr so: D5W sv: 100 su: ml rt: IV Drip st: Stopped
id: D5W 100.0ml + 100mghr Lasix t0: [13:00:00 24/03/2020] el: 2 ai: 354 cg: -1 cu: CSRU vo: 0 st: D/C'd
id: Service Type t0: [13:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 119 n1: 119 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 24/03/2020] 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 24/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [13:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml st: Stopped id: Tube Feeding 999.0ml t0: [13:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml st: Stopped id: Urine Out Foley t0: [13:00:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
pi: 4453511 hi: 10078 t0: [15:00:00 24/03/2020] tf: [14:00:00 25/03/2020] mn: Alteplase (Catheter Clearance) pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 15 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [14:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [14:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 127 n1: 127 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [14:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: Tube Feeding 999.0ml t0: [14:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 0 vu: ml st: Restart id: Urine Out Foley t0: [14:00:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 85 vu: ml
id: Service Type t0: [15:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 139 n1: 139 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [15:00:00 24/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: TF Residual t0: [15:00:00 24/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [15:00:00 24/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding 999.0ml t0: [15:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Free Water Bolus t0: [15:00:00 24/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [15:00:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Fingerstick Glucose t0: [15:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 191 n1: 191 rs: Manual st: NotStopd
id: BUN t0: [14:30:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 56 n1: 56 rs: Final st: NotStopd id: Chloride t0: [14:30:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine t0: [14:30:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Glucose t0: [14:30:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: Potassium t0: [14:30:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.8 n1: 4.8 rs: Final st: NotStopd id: Sodium t0: [14:30:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd id: BUN (6-20) t0: [14:30:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 56 n1: 56 rs: Final st: NotStopd id: Carbon Dioxide t0: [14:30:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [14:30:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [14:30:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.4 n1: 3.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [14:30:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [14:30:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.8 n1: 4.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [14:30:00 24/03/2020] el: 0 cg: 3161 cu: CSRU v1: 143 n1: 143 rs: Final st: NotStopd
id: Pain Present t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Daily Wake Up t0: [16:00:00 24/03/2020] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: 2 mm st: NotStopd id: Education Barrier t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Not Applicable st: NotStopd id: Education Learner t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Education Topic #2 t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube Stat/Drain t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: HOB t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Motor Response t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 110 n1: 110 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) #2 t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pain Location t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Position t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Left Side st: NotStopd id: Assistance Device t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 21 n2: 21 st: NotStopd id: PressureReduceDevice t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: PressureReduceDevice t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: SpO2 t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Green v2: Liquid st: NotStopd id: Stool Guaiac t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Negative st: NotStopd id: Stool Management t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [12:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Turn t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Bowel Sounds t0: [16:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: D5W 100.0ml t0: [14:30:00 24/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [16:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Tube Feeding 999.0ml t0: [17:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Stool Out Stool t0: [16:00:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 750 vu: ml id: Urine Out Foley t0: [16:00:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 60 vu: ml id: Urine Out Foley t0: [17:00:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Stool Out Total t0: [23:00:00 24/03/2020] el: 3 cg: RN cu: CSRU cv: 750 ac: 24 ap: none re: 0
id: Service Type t0: [18:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [18:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [18:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 184 n1: 184 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [18:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Free Water Bolus t0: [18:00:00 24/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [18:00:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: Service Type t0: [19:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [19:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [19:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [19:00:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Pain Present t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Daily Wake Up t0: [20:00:00 24/03/2020] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: None st: NotStopd id: GI#2 Intub Site t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube Stat/Drain t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: HOB t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Motor Response t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) #2 t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pain Location t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 21 n2: 21 st: NotStopd id: PressureReduceDevice t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: Stool Color/Consist t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 24/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Gastric Meds t0: [20:00:00 24/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 30 vu: ml id: Tube Feeding 999.0ml t0: [20:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Tube Feeding 999.0ml t0: [21:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Free Water Bolus t0: [21:00:00 24/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [20:30:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Service Type t0: [21:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [21:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [21:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [21:00:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 25 vu: ml
id: Service Type t0: [22:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [22:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [22:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [22:00:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Service Type t0: [23:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [23:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 124 n1: 124 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Care t0: [23:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Precautions t0: [23:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [23:00:00 24/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 24/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [23:00:00 24/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [23:00:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
id: IV Infusion In Total t0: [23:00:00 24/03/2020] el: 3 cg: RN cu: CSRU pv: 10 cv: 725 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 24/03/2020] el: 3 cg: RN cu: CSRU pv: 65 cv: 3190 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 24/03/2020] el: 3 cg: RN cu: CSRU pv: 30 cv: 30 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 24/03/2020] el: 3 cg: RN cu: CSRU pv: 55 cv: 1265 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 24/03/2020] el: 3 cg: RN cu: CSRU pv: 30 cv: 1710 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 24/03/2020] el: 3 cg: RN cu: CSRU pv: 35 cv: 730 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 24/03/2020] el: 3 cg: RN cu: CSRU pv: 35 cv: 1863.95 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 24/03/2020] el: 3 cg: RN cu: CSRU pv: 35 cv: 35 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 24/03/2020] el: 3 cg: RN cu: CSRU pv: 30 cv: 2460 ac: 24 ap: none re: 0
id: Urine Out Foley t0: [23:30:00 24/03/2020] el: 1 cg: RN cu: CSRU vo: 30 vu: ml
pi: 4455579 hi: 10078 t0: [01:00:00 25/03/2020] tf: [02:00:00 25/03/2020] mn: Furosemide pt: Unit Dose st: Inactive (Due to a change order) rt: IV fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Daily Wake Up t0: [00:00:00 25/03/2020] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: None st: NotStopd id: GI#2 Intub Site t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Motor Response t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 111 n1: 111 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 82 n1: 82 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) #2 t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pain Location t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Position t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 Person Assist st: NotStopd id: Precautions t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 21 n2: 21 st: NotStopd id: PressureReduceDevice t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Golden v2: Liquid st: NotStopd id: Stool Management t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 19 n2: 19 st: NotStopd id: INV#1 Tubing Change t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 136 n1: 136 rs: Manual st: NotStopd id: Bowel Sounds t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 25/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [00:00:00 25/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Free Water Bolus t0: [00:00:00 25/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [00:00:00 25/03/2020] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Service Type t0: [01:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [01:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 103 n1: 103 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [01:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 25/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [01:00:00 25/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [01:00:00 25/03/2020] el: 1 cg: RN cu: CSRU vo: 17 vu: ml
pi: 4455746 hi: 10078 t0: [01:00:00 25/03/2020] tf: [23:00:00 25/03/2020] pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Position t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressureReduceDevice t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Skin Care t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: SpO2 t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Back Care t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [02:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 25/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [02:00:00 25/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml
id: Service Type t0: [03:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [03:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [03:30:00 25/03/2020] el: 1 ai: 105 cg: RN cu: CSRU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 25/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [03:00:00 25/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [03:00:00 25/03/2020] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: Pain Present t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Daily Wake Up t0: [04:00:00 25/03/2020] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: None st: NotStopd id: GI#2 Intub Site t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube Stat/Drain t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding st: NotStopd id: Heart Rate t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: Abdominal Assessment t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Motor Response t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 76 n1: 76 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) #2 t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Cavity t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 1 st: NotStopd id: Pain Location t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Precautions t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 24 n2: 24 st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Color/Consist t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 25/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [04:00:00 25/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml
id: Free Water Bolus t0: [03:00:00 25/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [04:00:00 25/03/2020] el: 1 cg: RN cu: CSRU vo: 45 vu: ml
id: WBC (4-11,000) t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 13.2 n1: 13.2 rs: Final st: NotStopd id: WBC t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 13.2 n1: 13.2 rs: Final st: NotStopd id: Hematocrit t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 26.7 n1: 26.7 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 8.4 n1: 8.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 418 n1: 418 rs: Final st: NotStopd id: RBC t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.49 n1: 3.49 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 13.2 n1: 13.2 rs: Final st: NotStopd
id: PT t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 14.1 n1: 14.1 rs: Final st: NotStopd id: INR t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 31.8 n1: 31.8 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 14.1 n1: 14.1 rs: Final st: NotStopd id: PTT(22-35) t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 31.8 n1: 31.8 rs: Final st: NotStopd
id: BUN t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 55 n1: 55 rs: Final st: NotStopd id: Calcium t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Glucose t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 55 n1: 55 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 7.8 n1: 7.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 27 n1: 27 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 112 n1: 112 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.6 n1: 4.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:08:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [05:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 25/03/2020] 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 25/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 25/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [05:00:00 25/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [05:00:00 25/03/2020] el: 1 cg: RN cu: CSRU vo: 170 vu: ml
id: Service Type t0: [06:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [06:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 115 n1: 115 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [06:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 146 n1: 146 rs: Manual st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 25/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [06:00:00 25/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Free Water Bolus t0: [06:00:00 25/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml id: Stool Out Stool t0: [06:00:00 25/03/2020] el: 1 cg: RN cu: CSRU vo: 450 vu: ml id: Urine Out Foley t0: [06:00:00 25/03/2020] el: 1 cg: RN cu: CSRU vo: 400 vu: ml
id: Stool Out Total t0: [23:00:00 25/03/2020] el: 3 cg: RN cu: CSRU cv: 900 ac: 24 ap: none re: 0
id: Service Type t0: [07:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [07:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [07:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 102 n1: 102 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 101 n1: 101 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 25/03/2020] 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 25/03/2020] 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 25/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: calprevflg t0: [07:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [08:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 137 n1: 137 rs: Manual st: NotStopd
id: Pain Present t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Cough Effort t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Daily Wake Up t0: [08:00:00 25/03/2020] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Edema Location/Amt#1 t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: None st: NotStopd id: Education Barrier t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Education Response t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: ICU Environment st: NotStopd id: Eye Opening t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube Stat/Drain t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: INV Line#1 Type/Site t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Motor Response t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: O2 Delivery Device t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) #2 t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 4 n1: 4 u1: lpm st: NotStopd id: Oral Care t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: INV#1 Dsg Change t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 24 n2: 24 st: NotStopd id: PressureReduceDevice t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: RUL Lung Sounds t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Restraint Location t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Skin Color t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: Stool Color/Consist t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 22 n2: 22 st: NotStopd id: Therapeutic Bed t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow st: NotStopd id: Urine Source t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: Behavior t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: TF Residual t0: [08:00:00 25/03/2020] el: 1 ai: 209 cg: RN cu: CSRU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 25/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Gastric Meds t0: [08:00:00 25/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 190 vu: ml id: Tube Feeding 999.0ml t0: [08:00:00 25/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 110 vu: ml id: Urine Out Foley t0: [08:00:00 25/03/2020] el: 1 cg: RN cu: CSRU vo: 500 vu: ml
id: Service Type t0: [09:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [09:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 105 n1: 105 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 25/03/2020] 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 25/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Tube Feeding 999.0ml t0: [09:00:00 25/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml st: Stopped id: Urine Out Foley t0: [09:00:00 25/03/2020] el: 1 cg: RN cu: CSRU vo: 70 vu: ml
id: .9% Normal Saline 1000.0ml t0: [09:00:00 25/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml st: Stopped
id: IV Infusion In Total t0: [23:00:00 25/03/2020] el: 3 cg: RN cu: CSRU cv: 180 ac: 24 ap: none re: 0
id: Service Type t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: HOB t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 degrees st: NotStopd id: Heart Rate t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 62 n1: 62 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Activity t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Chair st: NotStopd id: Activity Tolerance t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: NBP t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 95 n1: 95 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Position t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: PressureReduceDevice t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 25/03/2020] 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 25/03/2020] el: 0 cg: RN cu: CSRU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: calprevflg t0: [10:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Tube Feeding 999.0ml t0: [10:00:00 25/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vu: ml nb: 1 id: Urine Out Foley t0: [10:00:00 25/03/2020] el: 1 cg: RN cu: CSRU vo: 100 vu: ml
id: Service Type t0: [11:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [11:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Rare st: NotStopd id: Ectopy Type t0: [11:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: PVC's st: NotStopd id: Health Care Proxy t0: [11:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Tube Feeding 999.0ml t0: [11:00:00 25/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml
pi: 4457068 hi: 10078 t0: [22:00:00 25/03/2020] tf: [10:00:00 26/03/2020] mn: Warfarin pt: Unit Dose st: Discontinued rt: PO fr: HS ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4457069 hi: 10078 t0: [22:00:00 26/03/2020] tf: [10:00:00 26/03/2020] mn: Warfarin pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Daily Wake Up t0: [12:00:00 25/03/2020] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: None st: NotStopd id: Education Barrier t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Altered LOC st: NotStopd id: Education Handout t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Not Given st: NotStopd id: Education Learner t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: Education Method t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Explanation st: NotStopd id: GI#2 Intub Site t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Education Readiness t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Response t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Education Topic #2 t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Cough/DeepBreath st: NotStopd id: Eye Opening t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Family Visited st: NotStopd id: Follows Commands t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube PlaceCheck t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Confused st: NotStopd id: Motor Response t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 106 n1: 106 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) #2 t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 3 n1: 3 u1: lpm st: NotStopd id: Oral Cavity t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 24 n2: 24 st: NotStopd id: PressureReduceDevice t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RUL Lung Sounds t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Color/Consist t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: Back Care t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Calm st: NotStopd id: Pt./Family Informed t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Fingerstick Glucose t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 192 n1: 192 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: Tube Feeding 999.0ml t0: [12:00:00 25/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Free Water Bolus t0: [12:00:00 25/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml id: Urine Out Foley t0: [12:00:00 25/03/2020] el: 1 cg: RN cu: CSRU vo: 130 vu: ml
id: Service Type t0: [13:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [14:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [13:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 104 n1: 104 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 109 n1: 109 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 75 n1: 75 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 25/03/2020] 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 25/03/2020] el: 0 cg: RN cu: CSRU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [14:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Tube Feeding 999.0ml t0: [14:00:00 25/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 110 vu: ml id: Urine Out Foley t0: [14:00:00 25/03/2020] el: 1 cg: RN cu: CSRU vo: 35 vu: ml
id: Service Type t0: [15:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [15:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 112 n1: 112 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: Tube Feeding 999.0ml t0: [15:00:00 25/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [15:00:00 25/03/2020] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: .9% Normal Saline 1000.0ml t0: [15:00:00 25/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vu: ml nb: 1
id: BUN t0: [15:05:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 57 n1: 57 rs: Final st: NotStopd id: Chloride t0: [15:05:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [15:05:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Glucose t0: [15:05:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd id: Potassium t0: [15:05:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.9 n1: 4.9 rs: Final st: NotStopd id: Sodium t0: [15:05:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [15:05:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 57 n1: 57 rs: Final st: NotStopd id: Carbon Dioxide t0: [15:05:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [15:05:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [15:05:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [15:05:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 134 n1: 134 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [15:05:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 4.9 n1: 4.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [15:05:00 25/03/2020] el: 0 cg: 3161 cu: CSRU v1: 142 n1: 142 rs: Final st: NotStopd
id: Pain Present t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: PainLevel Acceptable t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Service Type t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: Cough Type t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Productive st: NotStopd id: Daily Wake Up t0: [16:00:00 25/03/2020] el: 1 cg: RN cu: CSRU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: None st: NotStopd id: Education Learner t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Patient st: NotStopd id: GI#2 Intub Site t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Feeding v2: Undigested Food st: NotStopd id: HOB t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 30 degrees st: NotStopd id: Heart Rate t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Motor Response t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 80 n1: 80 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) #2 t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Pain Location t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Position t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Right Side st: NotStopd id: Assistance Device t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Independent st: NotStopd id: Precautions t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 24 n2: 24 st: NotStopd id: PressureReduceDevice t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Multipodus Boots st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [08:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RLL Lung Sounds t0: [12:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RLL Lung Sounds t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Stool Color/Consist t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Mushroom Cath st: NotStopd id: Support Systems t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Turns by self st: NotStopd id: Urine Color/Appear t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Voids st: NotStopd id: Verbal Response t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Sleeping st: NotStopd id: Pt./Family Informed t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Very Limited st: NotStopd
id: Tube Feeding 999.0ml t0: [16:00:00 25/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [16:30:00 25/03/2020] el: 1 cg: RN cu: CSRU vo: 42 vu: ml
id: Free Water Bolus t0: [16:00:00 25/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml
id: Urine Out Foley t0: [17:00:00 25/03/2020] el: 1 cg: RN cu: CSRU vo: 20 vu: ml
id: Service Type t0: [17:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [17:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 96 n1: 96 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 25/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 10 vu: ml id: Tube Feeding 999.0ml t0: [17:00:00 25/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml
id: Stool Out Stool t0: [17:00:00 25/03/2020] el: 1 cg: RN cu: CSRU vo: 450 vu: ml
id: Gastric Meds t0: [17:00:00 25/03/2020] el: 1 ai: 1109 cg: RN cu: CSRU vo: 60 vu: ml
pi: 4458226 hi: 10078 t0: [19:00:00 25/03/2020] tf: [23:00:00 25/03/2020] mn: Alteplase (Catheter Clearance) pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [18:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [18:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 114 n1: 114 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [18:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 25/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vo: 20 vu: ml id: Tube Feeding 999.0ml t0: [18:00:00 25/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 55 vu: ml id: Urine Out Foley t0: [18:00:00 25/03/2020] el: 1 cg: RN cu: CSRU vo: 77 vu: ml
id: Fingerstick Glucose t0: [18:00:00 25/03/2020] el: 0 cg: PCT cu: CSRU v1: 143 n1: 143 rs: Manual st: NotStopd
id: Free Water Bolus t0: [18:00:00 25/03/2020] el: 1 ai: 274 cg: RN cu: CSRU vo: 150 vu: ml
id: PO/Gastric In Total t0: [23:00:00 25/03/2020] el: 3 cg: RN cu: -1 cv: 1150 ac: 24 ap: none re: 0
id: Pain Present t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Pt Verbalized st: NotStopd id: Service Type t0: [19:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [19:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Service Type t0: [20:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: MICU st: NotStopd id: Code Status t0: [19:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [19:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Code Status t0: [20:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Calm/Cooperative st: NotStopd id: Cough Effort t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Strong st: NotStopd id: GI Prophylaxis t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [19:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Risk for Falls t0: [20:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [19:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [19:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Frequency t0: [20:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [19:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Ectopy Type t0: [20:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Alarms t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Edema Location/Amt#1 t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Both Legs v2: None st: NotStopd id: GI#2 Intub Site t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: Health Care Proxy t0: [19:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 14 n1: 14 u1: points st: NotStopd id: GI Intub #2/Site t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Salem Sump v2: Right Nare st: NotStopd id: GI#2 Tube PlaceCheck t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Done st: NotStopd id: GI#2 Tube Stat/Drain t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Clamped v2: Undigested Food st: NotStopd id: HOB t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 45 degrees st: NotStopd id: Heart Rate t0: [19:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [19:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rate t0: [20:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [19:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal Sinus st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: PICC line v2: Left Radial st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 17 n2: 17 st: NotStopd id: Abdominal Assessment t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Soft st: NotStopd id: Activity t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Tolerated Well st: NotStopd id: LLL Lung Sounds t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP t0: [19:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 93 n1: 93 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 108 n1: 108 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP t0: [20:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 117 n1: 117 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: NBP Mean t0: [19:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 69 n1: 69 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 79 n1: 79 u1: mmHg st: NotStopd id: NBP Mean t0: [20:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 87 n1: 87 u1: mmHg st: NotStopd id: O2 Delivery Device t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) #2 t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 2 n1: 2 u1: lpm st: NotStopd id: Oral Cavity t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Oriented x 2 st: NotStopd id: Position t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Supine st: NotStopd id: Assistance Device t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Independent st: NotStopd id: Precautions t0: [19:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [19:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: Precautions t0: [20:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Contact st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 24 n2: 24 st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: mmHg v2: 165 n2: 165 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLL Lung Sounds t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: None st: NotStopd id: Side Rails t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: All rails up st: NotStopd id: Skin Color t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [19:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [19:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [20:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 97 n1: 97 u1: % st: NotStopd id: Stool Color/Consist t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Brown v2: Liquid st: NotStopd id: Stool Management t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Rectal Tube st: NotStopd id: Support Systems t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 24 n2: 24 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 4 Confused st: NotStopd id: calprevflg t0: [19:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:30:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 25/03/2020] el: 0 cg: RN cu: CSRU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [19:00:00 25/03/2020] el: 3 ai: 107 cg: RN cu: CSRU vu: ml st: Stopped id: Tube Feeding 999.0ml t0: [20:00:00 25/03/2020] el: 1 ai: -1 cg: RN cu: CSRU vo: 110 vu: ml id: Urine Out Foley t0: [20:00:00 25/03/2020] el: 1 cg: RN cu: CSRU vo: 50 vu: ml
id: 24h Total In t0: [23:00:00 25/03/2020] el: 3 cg: RN cu: -1 cv: 2430 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 25/03/2020] el: 3 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 25/03/2020] el: 3 cg: RN cu: -1 cv: 1100 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 25/03/2020] el: 3 cg: RN cu: -1 cv: 1771 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 25/03/2020] el: 3 cg: RN cu: -1 cv: -241 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 25/03/2020] el: 3 cg: RN cu: -1 cv: 1622.95 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 25/03/2020] el: 3 cg: RN cu: -1 cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 25/03/2020] el: 3 cg: RN cu: -1 cv: 2671 ac: 24 ap: none re: 0
pi: 4458922 hi: 10078 t0: [22:00:00 25/03/2020] tf: [20:00:00 01/04/2020] mn: Sodium Chloride 0.9% Flush pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
ci: 36862 t0: [17:37:00 04/03/2020] cu: CSRU de: Regular ward dt: 30459
pi: 4459254 hi: 10078 t0: [00:00:00 26/03/2020] tf: [20:00:00 01/04/2020] mn: HydrALAzine pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q6H ds: 0, 6, 12, 18 dn: 4 di: Ongoing xv: 36 xu: Hours
pi: 4460175 hi: 10078 t0: [10:00:00 26/03/2020] tf: [10:00:00 26/03/2020] mn: Furosemide pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xu: Enter on Label
pi: 4460286 hi: 10078 t0: [22:00:00 26/03/2020] tf: [13:00:00 27/03/2020] mn: Warfarin pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4462582 hi: 10078 t0: [22:00:00 26/03/2020] tf: [08:00:00 27/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml D5 1/2NS Continuous at 50 ml/hr for 500 ml ir: 50 it: C ss: N dt: 10 di: Hours xu: Enter on Label
pi: 4464734 hi: 10078 t0: [22:00:00 27/03/2020] tf: [07:00:00 29/03/2020] mn: Warfarin pt: Unit Dose st: Discontinued rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4467889 hi: 10078 t0: [13:00:00 28/03/2020] tf: [12:00:00 28/03/2020] pt: IV Large Volume st: Discontinued rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 100 ml/hr for 1000 ml ir: 100 it: C ss: N dt: 10 di: Hours xu: Enter on Label pi: 4467942 hi: 10078 t0: [13:00:00 28/03/2020] tf: [20:00:00 01/04/2020] mn: Pantoprazole pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q12H ds: 13, 1 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4467943 hi: 10078 t0: [13:00:00 28/03/2020] tf: [20:00:00 01/04/2020] mn: Docusate Sodium (Liquid) pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID:PRN di: Ongoing xv: 36 xu: Hours
pi: 4469835 hi: 10078 t0: [09:00:00 29/03/2020] tf: [19:00:00 29/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 100 ml/hr for 1000 ml ir: 100 it: C ss: N dt: 10 di: Hours xu: Enter on Label
pi: 4471331 hi: 10078 t0: [20:00:00 29/03/2020] tf: [13:00:00 30/03/2020] mn: Tacrolimus pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4471332 hi: 10078 t0: [20:00:00 29/03/2020] tf: [13:00:00 30/03/2020] mn: Tacrolimus pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4471648 hi: 10078 t0: [23:00:00 29/03/2020] tf: [09:00:00 30/03/2020] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 1000 ml NS Continuous at 100 ml/hr for 1000 ml ir: 100 it: C ss: N dt: 10 di: Hours xu: Enter on Label
pi: 4472644 hi: 10078 t0: [11:00:00 30/03/2020] tf: [10:00:00 31/03/2020] mn: Phytonadione pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4472645 hi: 10078 t0: [11:00:00 30/03/2020] tf: [13:00:00 30/03/2020] mn: Sodium Polystyrene Sulfonate pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4473328 hi: 10078 t0: [20:00:00 30/03/2020] tf: [20:00:00 01/04/2020] mn: Tacrolimus pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
pi: 4476821 hi: 10078 t0: [22:00:00 31/03/2020] tf: [14:00:00 01/04/2020] mn: Warfarin pt: Unit Dose st: Discontinued rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours