This log is also available as text (216cc.txt) and as a (binary) annotation file (216cc.log).
Generated: Thursday, 23-Apr-2009 00:35:29 EDT
(All dates below are surrogates.)
id: Lasix io: D5W 100.0ml + 100mghr Lasix el: 100 cg: RN cu: CCU am: 100 du: mghr rt: IV Drip
id: ETT Mark/Location t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: 7.09 n1: 7.09 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: 15 n1: 15 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: 2600 n1: 2600 st: NotStopd id: Tank B psi. t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: 2600 n1: 2600 st: NotStopd id: Ve High t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: 239 n1: 239 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:00:00 16/02/2016] el: 0 cg: SRT cu: CCU v1: Drager st: NotStopd
id: ETT Position Change t0: [11:21:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Done st: NotStopd
id: Service Type t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [12:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 16/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [12:00:00 16/02/2016] el: 1 ai: 354 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Tube Feeding t0: [12:00:00 16/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [12:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [12:00:00 16/02/2016] el: 1 ai: 431 cg: RN cu: CCU vo: 0 vu: ml
id: Lasix t0: [12:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [12:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [12:00:00 16/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Riker-SAS Scale t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Doppler st: NotStopd id: Alarms t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: Family Communication t0: [11:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Follows Commands t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI Guaiac/ph t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: GI Intub #1/Site t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Yellow st: NotStopd id: GU Cath Insert Date t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 31 n2: 31 st: NotStopd id: HOB t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#4 Type/Site t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: Abdominal Assessment t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Imp Skin Cleanse #1 t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Rash st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: LLE Temp/Color t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUE Temp/Color t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Position t0: [10:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Doppler st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: INV#4 Dsg Change t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: RLE Temp/Color t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUE Temp/Color t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Respiratory Pattern t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Side Rails t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Sputum Color/Consist t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [11:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#4 Cap Change t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: INV#4 Tubing Change t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Turn t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd id: Braden Activity t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Service Type t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [13:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 16/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [13:00:00 16/02/2016] el: 1 ai: 354 cg: RN cu: CCU vo: 5 vu: ml id: Tube Feeding t0: [13:00:00 16/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [13:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [13:00:00 16/02/2016] el: 1 ai: 431 cg: RN cu: CCU vo: 0 vu: ml
id: Lasix t0: [13:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [13:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [13:00:00 16/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [14:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [14:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 16/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [14:00:00 16/02/2016] el: 1 ai: 354 cg: RN cu: CCU vo: 5 vu: ml id: Tube Feeding t0: [14:00:00 16/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [14:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 300 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [14:00:00 16/02/2016] el: 1 ai: 431 cg: RN cu: CCU vo: 0 vu: ml
id: Lasix t0: [14:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [14:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [14:00:00 16/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [14:08:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [14:08:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: -1 n1: -1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:08:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:08:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 38 n1: 38 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:08:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 114 n1: 114 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:08:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd
id: ETT Mark/Location t0: [14:35:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [14:35:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [14:35:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [14:35:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [14:35:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Minute Volume(Obser) t0: [14:35:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: L/min st: NotStopd id: PEEP Set t0: [14:35:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Pressure Support t0: [14:35:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [14:35:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [14:35:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [14:35:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [14:35:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 248 n1: 248 u1: ml/B st: NotStopd id: Ventilator Mode t0: [14:35:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [14:35:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [15:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 16/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [15:00:00 16/02/2016] el: 1 ai: 354 cg: RN cu: CCU vo: 5 vu: ml id: Tube Feeding t0: [15:00:00 16/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [15:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [15:00:00 16/02/2016] el: 1 ai: 431 cg: RN cu: CCU vo: 0 vu: ml
id: Lasix t0: [15:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [15:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [15:00:00 16/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline t0: [16:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 16/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [16:00:00 16/02/2016] el: 1 ai: 354 cg: RN cu: CCU vo: 5 vu: ml id: Tube Feeding t0: [16:00:00 16/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [16:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 320 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [16:00:00 16/02/2016] el: 1 ai: 431 cg: RN cu: CCU vo: 0 vu: ml
id: GI Prophylaxis t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: Follows Commands t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Yellow st: NotStopd id: GU Cath Insert Date t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 31 n2: 31 st: NotStopd id: Abdominal Assessment t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LL Strength/Movement t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LLL Lung Sounds t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: LUE Temp/Color t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: LUL Lung Sounds t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Doppler st: NotStopd id: RL Strength/Movement t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RLL Lung Sounds t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: RUL Lung Sounds t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Source t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: Tube Feeding t0: [16:30:00 16/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 22.5 vu: ml st: Stopped
id: Service Type t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: calprevflg t0: [16:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [17:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 16/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [17:00:00 16/02/2016] el: 1 ai: 354 cg: RN cu: CCU vo: 5 vu: ml id: Tube Feeding t0: [17:00:00 16/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [17:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 400 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [17:00:00 16/02/2016] el: 1 ai: 431 cg: RN cu: CCU vo: 0 vu: ml
id: Lasix t0: [16:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [16:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [16:00:00 16/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: ETT Mark/Location t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: Ectopy Frequency t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: FiO2 Set t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Heart Rate t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: High Insp. Pressure t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 10.9 n1: 10.9 u1: L/min st: NotStopd id: PEEP Set t0: [14:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: PEEP Set t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Arterial BP t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 167 n1: 167 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Pressure Support t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Resp Rate (Total) t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: BPM st: NotStopd id: Tank A psi. t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 2600 n1: 2600 st: NotStopd id: Tank B psi. t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 st: NotStopd id: Sensitivity-Vent t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 291 n1: 291 u1: ml/B st: NotStopd id: Ventilator Mode t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [17:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: calprevflg t0: [17:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lasix t0: [17:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [17:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [17:00:00 16/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [17:59:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd id: Arterial Base Excess t0: [17:59:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:59:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:59:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 43 n1: 43 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:59:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:59:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.38 n1: 7.38 rs: Final st: NotStopd
id: Hematocrit t0: [17:52:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 29.5 n1: 29.5 u1: % rs: Final st: NotStopd
id: Service Type t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 142 n1: 142 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [18:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [18:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 16/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [18:00:00 16/02/2016] el: 1 ai: 354 cg: RN cu: CCU vo: 5 vu: ml id: Tube Feeding t0: [18:00:00 16/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [18:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 500 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [18:00:00 16/02/2016] el: 1 ai: 431 cg: RN cu: CCU vo: 0 vu: ml
id: Lasix t0: [18:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [18:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [18:00:00 16/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Creatinine t0: [17:52:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Magnesium t0: [17:52:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Potassium t0: [17:52:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [17:52:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [17:52:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [17:52:00 16/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd
id: Service Type t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 166 n1: 166 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 16/02/2016] 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: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lasix t0: [19:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Lasix t0: [20:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [19:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Midazolam t0: [20:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip st: Stopped id: Heparin t0: [19:00:00 16/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [20:00:00 16/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [19:40:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:40:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:40:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:40:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:40:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [19:40:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:40:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:40:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [19:40:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 157 n1: 157 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:40:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [19:40:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:40:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:40:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:40:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:40:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:40:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: calprevflg t0: [19:40:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lasix t0: [19:40:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 5 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Midazolam t0: [19:40:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 0.5 du: mghr so: .9% Normal Saline sv: 50 su: ml rt: IV Drip id: Heparin t0: [19:40:00 16/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4526909 hi: 10949 t0: [21:00:00 16/02/2016] tf: [20:00:00 17/02/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Pain Cause t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: .9% Normal Saline t0: [20:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 16/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [20:00:00 16/02/2016] el: 1 ai: 354 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [20:00:00 16/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [20:00:00 16/02/2016] el: 1 ai: 431 cg: RN cu: CCU vo: 0.5 vu: ml
id: ETT Mark/Location t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd
id: High Insp. Pressure t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Inspired Gas Temp t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 2600 n1: 2600 st: NotStopd id: Tank B psi. t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 2100 n1: 2100 st: NotStopd id: Ve High t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 239 n1: 239 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Gastric Meds t0: [20:00:00 16/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 50 vu: ml id: GT Flush t0: [20:00:00 16/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 50 vu: ml
id: GI Prophylaxis t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Yellow st: NotStopd id: GU Cath Insert Date t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 31 n2: 31 st: NotStopd id: Abdominal Assessment t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: RL Strength/Movement t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Service Type t0: [20:15:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:15:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:15:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:15:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:15:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [20:15:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [20:15:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:15:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [20:15:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 167 n1: 167 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:15:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Precautions t0: [20:15:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:15:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:15:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:15:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:15:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:15:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [20:15:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [20:15:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Urine Out Foley t0: [20:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 725 vu: ml
id: Heparin t0: [20:15:00 16/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Family Communication t0: [19:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#4 Type/Site t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: INV Line#4SiteAppear t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#4 WaveformAppear t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: Position Change t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: INV#4 Dsg Change t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: Reason For Restraint t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Support Systems t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#4 Cap Change t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: INV#4 Tubing Change t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: Pt./Family Informed t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Temp. Site t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd
id: Sputum Color/Consist t0: [20:50:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:50:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd
pi: 4527085 hi: 10949 t0: [22:00:00 16/02/2016] tf: [18:00:00 19/02/2016] mn: Erythromycin 0.5% Ophth Oint pt: Unit Dose st: Discontinued rt: OU fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4527086 hi: 10949 t0: [20:00:00 16/02/2016] tf: [18:00:00 19/02/2016] mn: Dorzolamide 2%/Timolol 0.5% Ophth. pt: Unit Dose st: Inactive (Due to a change order) rt: RIGHT EYE fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4527087 hi: 10949 t0: [22:00:00 16/02/2016] tf: [18:00:00 19/02/2016] mn: Latanoprost 0.005% Ophth. Soln. pt: Unit Dose st: Inactive (Due to a change order) rt: RIGHT EYE fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 153 n1: 153 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: calprevflg t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [21:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 16/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [21:00:00 16/02/2016] el: 1 ai: 354 cg: RN cu: CCU vo: 2.75 vu: ml id: Tube Feeding t0: [21:00:00 16/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [21:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 320 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [21:00:00 16/02/2016] el: 1 ai: 431 cg: RN cu: CCU vo: 0 vu: ml
id: Lasix t0: [21:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [21:00:00 16/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: SpO2 t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd
id: FiO2 Set t0: [21:30:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 0.35 n1: 0.35 u1: torr st: NotStopd
id: Service Type t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [22:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 16/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [22:00:00 16/02/2016] el: 1 ai: 354 cg: RN cu: CCU vo: 2 vu: ml id: Tube Feeding t0: [22:00:00 16/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [22:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 340 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [22:00:00 16/02/2016] el: 1 ai: 431 cg: RN cu: CCU vo: 0 vu: ml
id: Lasix t0: [22:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Heparin t0: [22:00:00 16/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [22:10:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:10:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:10:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:10:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:10:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [22:10:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:10:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:10:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:10:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:10:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [22:10:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:10:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:10:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:10:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:10:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:10:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [22:10:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [22:10:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [22:10:00 16/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 14.2857 n1: 14.2857 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: High Insp. Pressure t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 1:2.8 st: NotStopd id: Airway Size t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Mean Airway Pressure t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: L/min st: NotStopd id: PEEP Set t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 289 n1: 289 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: 300 n1: 300 u1: ml/B st: NotStopd id: Ventilator Mode t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [22:10:00 16/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 38.2222 n1: 38.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 100.8 n1: 100.8 u1: Deg. F st: NotStopd id: calprevflg t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Lasix t0: [20:15:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 2 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Lasix t0: [22:10:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 do: 1 du: mghr so: D5W sv: 100 su: ml rt: IV Drip id: Lasix t0: [23:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 0 du: mghr so: D5W sv: 100 su: ml rt: IV Drip st: Stopped id: Heparin t0: [23:00:00 16/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Pain Cause t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Location t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: D5W 100.0ml t0: [23:00:00 16/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline t0: [23:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 16/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 16/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Gastric Meds t0: [23:00:00 16/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 30 vu: ml id: GT Flush t0: [23:00:00 16/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 30 vu: ml id: D5W 100.0ml + 100mghr Lasix t0: [23:00:00 16/02/2016] el: 1 ai: 354 cg: RN cu: CCU vo: 1.16667 vu: ml id: Tube Feeding t0: [23:00:00 16/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [23:00:00 16/02/2016] el: 1 cg: RN cu: CCU vo: 260 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [23:00:00 16/02/2016] el: 1 ai: 431 cg: RN cu: CCU vo: 0 vu: ml
id: IV Infusion In Total t0: [23:00:00 16/02/2016] el: 2 cg: RN cu: CCU pv: 275.167 cv: 1181.92 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 16/02/2016] el: 2 cg: RN cu: CCU pv: 260 cv: 260 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 16/02/2016] el: 2 cg: RN cu: CCU pv: 45 cv: 997.5 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 16/02/2016] el: 2 cg: RN cu: CCU pv: 260 cv: 4751 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 16/02/2016] el: 2 cg: RN cu: CCU pv: 260 cv: 4751 ac: 24 ap: none re: 0
id: Diet Type t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 31 n2: 31 st: NotStopd id: LLL Lung Sounds t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Orientation t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: RLL Lung Sounds t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Source t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: Education Topic #1 t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: Side Rails t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Sputum Color/Consist t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd
id: Less Restrict Meas. t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Imp Skin Cleanse #1 t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Rash st: NotStopd id: ImpSkin Wound Base#1 t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Position Change t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Skin Color t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd
id: HOB t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Oral Care t0: [21:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Position t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Compliance (40-60ml) t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 15.7895 n1: 15.7895 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 293 n1: 293 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 300 n1: 300 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Gastric Meds t0: [21:00:00 16/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 240 vu: ml
id: 24h Total In t0: [23:00:00 16/02/2016] el: 2 cg: RN cu: CCU pv: 380.167 cv: 2659.42 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 16/02/2016] el: 2 cg: RN cu: CCU pv: 120.167 cv: -2091.58 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 16/02/2016] el: 2 cg: RN cu: CCU pv: 120.167 cv: 612.981 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 16/02/2016] el: 2 cg: RN cu: CCU pv: 120.167 cv: 120.167 ac: 1 ap: none re: 0
id: Art.pH t0: [00:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: CaO2 t0: [00:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 12.9646 n1: 12.9646 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [00:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [00:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Arterial PaCO2 t0: [00:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 39 n1: 39 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [00:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 115 n1: 115 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [00:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 rs: Final st: NotStopd id: SaO2 t0: [00:16:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Service Type t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [00:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [00:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [00:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [00:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [00:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [00:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [00:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [00:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [00:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [00:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [00:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: Arterial BP t0: [00:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 159 n1: 159 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: Arterial BP t0: [00:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 174 n1: 174 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [00:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [00:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [00:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [00:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 17/02/2016] 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: [00:15:00 17/02/2016] 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: [00:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [00:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [00:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [00:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [00:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [00:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:15:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:30:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [00:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [00:15:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [00:30:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Location t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: .9% Normal Saline t0: [00:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 17/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Tube Feeding t0: [00:00:00 17/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [00:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 180 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [00:00:00 17/02/2016] el: 1 ai: 431 cg: RN cu: CCU vo: 0 vu: ml
id: GI Prophylaxis t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Diet Type t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Intub Site t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI Intub #1/Site t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Yellow st: NotStopd id: GI#1 Tube Stat/Drain t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Yellow st: NotStopd id: GU Cath Insert Date t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 31 n2: 31 st: NotStopd id: GU Cath Insert Date t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 31 n2: 31 st: NotStopd id: Abdominal Assessment t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: LUE Temp/Color t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #1 t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Angio Site #2 t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: RL Strength/Movement t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [23:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: HOB t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#4 Type/Site t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: INV Line#4SiteAppear t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#4 WaveformAppear t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: Oral Care t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: INV#4 Dsg Change t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: Reason For Restraint t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#4 Cap Change t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: INV#4 Tubing Change t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [00:00:00 17/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml
id: Service Type t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 167 n1: 167 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 17/02/2016] 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 17/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [01:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 17/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Tube Feeding t0: [01:00:00 17/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [01:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [01:00:00 17/02/2016] el: 1 ai: 431 cg: RN cu: CCU vo: 0 vu: ml
id: Heparin t0: [01:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Cause t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Location t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [01:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [02:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 17/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Tube Feeding t0: [02:00:00 17/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [02:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [02:00:00 17/02/2016] el: 1 ai: 431 cg: RN cu: CCU vo: 0 vu: ml
id: Heparin t0: [02:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: HOB t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: Activity Tolerance t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: Activity Tolerance t0: [22:00:00 16/02/2016] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: Position t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Pt./Family Informed t0: [02:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Service Type t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 142 n1: 142 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [03:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 17/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Tube Feeding t0: [03:00:00 17/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [03:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 240 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [03:00:00 17/02/2016] el: 1 ai: 431 cg: RN cu: CCU vo: 0 vu: ml
id: Heparin t0: [03:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: RSBI (<100) t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 94.2761 n1: 94.2761 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 6.2 n1: 6.2 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 94.2761 n1: 94.2761 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 0.297 n1: 0.297 u1: L st: NotStopd id: Sputum Color/Consist t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 231 n1: 231 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [03:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [03:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [03:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [03:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [03:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [03:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:45:00 17/02/2016] 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: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [03:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:45:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [03:45:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Location t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Temp. Site t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd
id: .9% Normal Saline t0: [04:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [04:00:00 17/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Tube Feeding t0: [04:00:00 17/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [04:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 105 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [04:00:00 17/02/2016] el: 1 ai: 431 cg: RN cu: CCU vo: 0 vu: ml
id: Less Restrict Meas. t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Yellow st: NotStopd id: GU Cath Insert Date t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 31 n2: 31 st: NotStopd id: Abdominal Assessment t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: LL Strength/Movement t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: LUE Temp/Color t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Angio Appearance #1 t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Care t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position Change t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: RL Strength/Movement t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Urine Color/Appear t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: INV Line#2 Type/Site t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#4 Type/Site t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: INV Line#4SiteAppear t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#4 WaveformAppear t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: INV#4 Dsg Change t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#4 Cap Change t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd
id: Art.pH t0: [04:43:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: Arterial Base Excess t0: [04:43:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [04:43:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Arterial PaCO2 t0: [04:43:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 48 n1: 48 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [04:43:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 94 n1: 94 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [04:43:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 rs: Final st: NotStopd id: SaO2 t0: [04:43:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 13.4 n1: 13.4 rs: Final st: NotStopd id: CaO2 t0: [04:43:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 12.5122 n1: 12.5122 u1: ml/dl st: NotStopd id: WBC t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 13.4 n1: 13.4 rs: Final st: NotStopd id: Hematocrit t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 27.1 n1: 27.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 9.5 n1: 9.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 413 n1: 413 rs: Final st: NotStopd id: RBC t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.05 n1: 3.05 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 13.4 n1: 13.4 rs: Final st: NotStopd
id: PT t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 13.8 n1: 13.8 rs: Final st: NotStopd id: INR t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 59.1 n1: 59.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 13.8 n1: 13.8 rs: Final st: NotStopd id: PTT(22-35) t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 59.1 n1: 59.1 rs: Final st: NotStopd
id: BUN t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 rs: Final st: NotStopd id: Calcium t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 rs: Final st: NotStopd id: Creatinine t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Glucose t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 119 n1: 119 rs: Final st: NotStopd id: Magnesium t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd id: BUN (6-20) t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.7 n1: 1.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 119 n1: 119 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [05:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pupil Response R/L t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 4 mm v2: 4 mm st: NotStopd
id: .9% Normal Saline t0: [05:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 17/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Tube Feeding t0: [05:00:00 17/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [05:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 75 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [05:00:00 17/02/2016] el: 1 ai: 431 cg: RN cu: CCU vo: 0 vu: ml
pi: 4527962 hi: 10949 t0: [07:00:00 17/02/2016] tf: [10:00:00 18/02/2016] mn: Heparin pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: ASDIR it: N ss: Y di: Ongoing xv: 36 xu: Hours pi: 4527963 hi: 10949 t0: [07:00:00 17/02/2016] tf: [06:00:00 18/02/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4527964 hi: 10949 t0: [07:00:00 17/02/2016] tf: [06:00:00 18/02/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 189 n1: 189 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [06:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Pain Cause t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Location t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Sputum Source/Amt t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd
id: .9% Normal Saline t0: [06:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 17/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Urine Out Foley t0: [06:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 180 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [06:00:00 17/02/2016] el: 1 ai: 431 cg: RN cu: CCU vo: 0 vu: ml
id: Less Restrict Meas. t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: HOB t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: Position t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Pt./Family Informed t0: [06:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Service Type t0: [07:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [07:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [07:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [07:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [07:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [07:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 17/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Gastric Meds t0: [07:00:00 17/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 140 vu: ml id: GT Flush t0: [04:00:00 17/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 50 vu: ml id: GT Flush t0: [07:00:00 17/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 30 vu: ml id: Tube Feeding t0: [06:00:00 17/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml st: Stopped id: Urine Out Foley t0: [07:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 140 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [07:00:00 17/02/2016] el: 1 ai: 431 cg: RN cu: CCU vo: 0 vu: ml
id: Heparin t0: [07:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Tube Feeds In Total t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU pv: 45 cv: 540 ac: 24 ap: none re: 0
id: Service Type t0: [07:55:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:05:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:10:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:55:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:05:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:10:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:55:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:05:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:10:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [07:55:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:05:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:10:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:55:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [08:05:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [08:10:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [07:55:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [08:05:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: Arterial BP t0: [08:10:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 171 n1: 171 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:55:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:05:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [08:10:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg st: NotStopd id: Precautions t0: [07:55:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [08:05:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [08:10:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:55:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:05:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:10:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:55:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:05:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:10:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:55:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:05:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:10:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:55:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:05:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:10:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:55:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:05:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:10:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [07:55:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [08:05:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [08:10:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:55:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:05:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:10:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [07:55:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [08:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [08:05:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [08:10:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 8.6 n1: 8.6 u1: L/min st: NotStopd id: Apnea Time Interval t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 340 n1: 340 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 17/02/2016] el: 1 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Prophylaxis t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 31 n2: 31 st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#4 Type/Site t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: LL Strength/Movement t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: LUL Lung Sounds t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Care t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Orientation t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #2 t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position Change t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: INV#4 Dsg Change t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: Pupil Response R/L t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 4 mm v2: 4 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Spontaneous Movement t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#4 Cap Change t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: Urine Color/Appear t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline t0: [08:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 17/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Urine Out Foley t0: [08:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [08:00:00 17/02/2016] el: 1 ai: 431 cg: RN cu: CCU vo: 0 vu: ml
id: D5W 100.0ml + 100mghr Lasix t0: [09:00:00 17/02/2016] el: 1 ai: 354 cg: -1 cu: CCU vo: 0 st: D/C'd
pi: 4528271 hi: 10949 t0: [10:00:00 17/02/2016] tf: [09:00:00 17/02/2016] mn: Furosemide pt: IV Piggyback st: Discontinued rt: IV DRIP fr: INFUSION di: Ongoing xu: Enter on Label pi: 4528290 hi: 10949 t0: [10:00:00 17/02/2016] tf: [09:00:00 18/02/2016] mn: Metolazone pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4528294 hi: 10949 t0: [10:00:00 17/02/2016] tf: [09:00:00 18/02/2016] mn: Furosemide pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: HOB t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LLE Temp/Color t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUE Temp/Color t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Angio Appearance #1 t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Site #1 t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Arterial BP t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RLE Temp/Color t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUE Temp/Color t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Respiratory Rate t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Therapeutic Bed t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: calprevflg t0: [09:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:00:00 17/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline t0: [09:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 17/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [09:00:00 17/02/2016] el: 1 ai: 431 cg: RN cu: CCU vo: 0 vu: ml
id: Heparin t0: [09:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Urine Out Foley t0: [09:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: Service Type t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: calprevflg t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [10:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 17/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:00:00 17/02/2016] el: 1 ai: 431 cg: RN cu: CCU vo: 0 vu: ml
id: Heparin t0: [10:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 50.0ml + 50mghr Midazolam t0: [10:01:00 17/02/2016] el: 1 ai: 431 cg: -1 cu: CCU vo: 0 st: D/C'd
id: D5W 100.0ml t0: [10:00:00 17/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml
id: TF Residual t0: [08:00:00 17/02/2016] el: 1 ai: 128 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [08:00:00 17/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 90 vu: ml
id: PO/Gastric In Total t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU cv: 580 ac: 24 ap: none re: 0
id: Cholesterol t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: mg/dl rs: Final st: NotStopd id: Triglyceride t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 126 n1: 126 rs: Final st: NotStopd id: Cholesterol (<200) t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: mg/dl rs: Final st: NotStopd id: Triglyceride (0-200) t0: [04:25:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 126 n1: 126 rs: Final st: NotStopd
id: Service Type t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [11:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 17/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Urine Out Foley t0: [11:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Heparin t0: [11:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Mean Airway Pressure t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 6.4 n1: 6.4 u1: L/min st: NotStopd id: Apnea Time Interval t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 266 n1: 266 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Range of Motion t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Ectopy Frequency t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clamped v2: Bilious st: NotStopd id: GU Cath Insert Date t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 31 n2: 31 st: NotStopd id: Heart Rate t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#4 Type/Site t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: LL Strength/Movement t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: INV#4 Dsg Change t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 11 n2: 11 st: NotStopd id: INV#4 Cap Change t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: Urine Color/Appear t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline t0: [12:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline t0: [13:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 17/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 17/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Urine Out Foley t0: [12:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 400 vu: ml id: Urine Out Foley t0: [13:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 340 vu: ml
id: Heparin t0: [12:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: Activity Tolerance t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: Oral Care t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Arterial BP t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Assistance Device t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 17/02/2016] 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: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Skin Care t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Stool Color/Consist t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Formed st: NotStopd id: Stool Guaiac t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Temp. Site t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [11:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Back Care t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [13:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [14:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 17/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Urine Out Foley t0: [14:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 320 vu: ml
id: Heparin t0: [13:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [14:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [14:31:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: CaO2 t0: [14:31:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 12.6643 n1: 12.6643 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [14:31:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:31:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 35 n1: 35 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:31:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:31:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:31:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.44 n1: 7.44 rs: Final st: NotStopd id: SaO2 t0: [14:31:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: ETT Position Change t0: [14:45:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Done st: NotStopd
id: .9% Normal Saline t0: [15:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 17/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Urine Out Foley t0: [15:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 280 vu: ml
id: Service Type t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [15:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [15:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Potassium t0: [14:09:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [14:09:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd
pi: 4529401 hi: 10949 t0: [16:00:00 17/02/2016] tf: [15:00:00 18/02/2016] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: PTT t0: [14:09:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 60.4 n1: 60.4 rs: Final st: NotStopd id: PTT(22-35) t0: [14:09:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 60.4 n1: 60.4 rs: Final st: NotStopd
id: Range of Motion t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: Position Change t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [14:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Gastric Meds t0: [15:00:00 17/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 120 vu: ml
id: ETT Mark/Location t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 5.3 n1: 5.3 u1: L/min st: NotStopd id: Apnea Time Interval t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 2600 n1: 2600 st: NotStopd id: Tank B psi. t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Ve High t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 245 n1: 245 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: calprevflg t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [16:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Alarms t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline t0: [16:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 17/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml
id: PEEP Set t0: [08:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: PEEP Set t0: [12:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: PEEP Set t0: [16:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd
pi: 4529763 hi: 10949 t0: [17:00:00 17/02/2016] tf: [11:00:00 21/02/2016] mn: Midazolam pt: Unit Dose st: Discontinued rt: IV fr: ONCE:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [17:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [17:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [17:00:00 17/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Urine Out Foley t0: [17:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 320 vu: ml
id: Heparin t0: [17:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Range of Motion t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 31 n2: 31 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#4 Type/Site t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: LL Strength/Movement t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Orientation t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Position Change t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: INV#4 Dsg Change t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: RL Strength/Movement t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: RLL Lung Sounds t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#4 Cap Change t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: Urine Color/Appear t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [16:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Service Type t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: Oral Care t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Arterial BP t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Assistance Device t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Skin Care t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Back Care t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [18:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 17/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Urine Out Foley t0: [18:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 450 vu: ml
id: Heparin t0: [18:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Tube Feeding t0: [19:00:00 17/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml nb: 1
id: ETT Mark/Location t0: [18:50:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [18:50:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [18:50:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [18:50:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Intubation Date t0: [18:50:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Respiratory Rate Set t0: [18:50:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: SpO2 t0: [18:50:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Set) t0: [18:50:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 300 n1: 300 u1: ml/B st: NotStopd id: Ventilator Mode t0: [18:50:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [18:50:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: calprevflg t0: [19:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [19:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Pain Cause t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: .9% Normal Saline t0: [20:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 17/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: Tube Feeding t0: [20:00:00 17/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml
id: GI Prophylaxis t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 31 n2: 31 st: NotStopd id: Abdominal Assessment t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Pupil Response R/L t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 4 mm v2: 4 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Spontaneous Movement t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: Position Change t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Support Systems t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: INV Line#2 Type/Site t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#4 Type/Site t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: INV Line#4SiteAppear t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Oral Care t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: INV#4 Dsg Change t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#4 Cap Change t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd
id: Compliance (40-60ml) t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 15.7895 n1: 15.7895 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 5.62 n1: 5.62 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 300 n1: 300 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: 300 n1: 300 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 17/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Gastric Meds t0: [20:00:00 17/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 40 vu: ml id: GT Flush t0: [20:00:00 17/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [20:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 345 vu: ml
id: Service Type t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Temp. Site t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [20:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Art.pH t0: [20:41:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: CaO2 t0: [20:41:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 12.6395 n1: 12.6395 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [20:41:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [20:41:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 36 n1: 36 rs: Final st: NotStopd id: Arterial PaCO2 t0: [20:41:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 50 n1: 50 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [20:41:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 94 n1: 94 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [20:41:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: SaO2 t0: [20:41:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Pain Present t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Pain Cause t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Location t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 37.6667 n1: 37.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 99.8 n1: 99.8 u1: Deg. F st: NotStopd id: calprevflg t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [21:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 17/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Tube Feeding t0: [21:00:00 17/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [21:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Heparin t0: [21:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Education Topic #1 t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: HOB t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#4 Type/Site t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: INV Line#4SiteAppear t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#4 WaveformAppear t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soap & H20 st: NotStopd id: ImpSkin Character #1 t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Rash st: NotStopd id: ImpSkin Wound Base#1 t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: Position t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: INV#4 Dsg Change t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: Side Rails t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Support Systems t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#4 Cap Change t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [21:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Creatinine t0: [20:03:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Magnesium t0: [20:03:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Potassium t0: [20:03:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [20:03:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.5 n1: 1.5 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [20:03:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [20:03:00 17/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 rs: Final st: NotStopd
id: Service Type t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [22:00:00 17/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline t0: [22:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 17/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Gastric Meds t0: [22:00:00 17/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 30 vu: ml id: GT Flush t0: [22:00:00 17/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 30 vu: ml id: Tube Feeding t0: [22:00:00 17/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [22:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Heparin t0: [22:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [23:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 18.75 n1: 18.75 u1: ml/cmH st: NotStopd id: ETT Mark/Location t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 7.2 n1: 7.2 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 330 n1: 330 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 300 n1: 300 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Cuff Pressure-Airway t0: [00:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd
id: Pain Present t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Pain Location t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Sputum Color/Consist t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [00:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline t0: [23:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 17/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 18/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 17/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Tube Feeding t0: [00:00:00 18/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [23:00:00 17/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [00:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 140 vu: ml id: Urine Out Foley t0: [23:00:00 17/02/2016] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Heparin t0: [00:00:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU pv: 24 cv: 1076 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU pv: 69 cv: 2196 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU pv: 140 cv: 140 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU pv: 140 cv: 4685 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU pv: -71 cv: -2489 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU pv: -71 cv: -1876.02 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU pv: -71 cv: -71 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 17/02/2016] el: 2 cg: RN cu: CCU pv: 140 cv: 4685 ac: 24 ap: none re: 0
id: Service Type t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 18/02/2016] 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 18/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [01:00:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd
id: Pain Present t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Pain Location t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [02:00:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: GI Prophylaxis t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Diet Type t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 31 n2: 31 st: NotStopd id: Abdominal Assessment t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Pupil Response R/L t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 4 mm v2: 4 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline t0: [01:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 18/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Tube Feeding t0: [01:00:00 18/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [01:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Less Restrict Meas. t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: HOB t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#4 Type/Site t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: INV Line#4SiteAppear t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#4 WaveformAppear t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: Oral Care t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: INV#4 Dsg Change t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: Reason For Restraint t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#4 Cap Change t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [01:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [00:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [02:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 17/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Service Type t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 158 n1: 158 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [03:00:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline t0: [02:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline t0: [03:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 18/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [03:00:00 18/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Tube Feeding t0: [02:00:00 18/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [03:00:00 18/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml
id: Urine Out Foley t0: [03:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 240 vu: ml
id: Compliance (40-60ml) t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 16.6667 n1: 16.6667 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 127.962 n1: 127.962 u1: units st: NotStopd id: ETT Mark/Location t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 6.3 n1: 6.3 u1: L/min st: NotStopd id: PEEP Set t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: RSBI (<200) t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 127.962 n1: 127.962 u1: units st: NotStopd id: Resp Rate (Spont) t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Tank A psi. t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2600 n1: 2600 st: NotStopd id: Tank B psi. t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 0.211 n1: 0.211 u1: L st: NotStopd id: Sputum Color/Consist t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 300 n1: 300 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 300 n1: 300 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:30:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Activity t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Oral Care t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Arterial BP t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 152 n1: 152 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Position t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: calprevflg t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [05:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 18/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: Tube Feeding t0: [05:00:00 18/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml
id: Heparin t0: [04:00:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Urine Out Foley t0: [05:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 360 vu: ml
id: Service Type t0: [04:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [04:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [04:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [04:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [04:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [04:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:55:00 18/02/2016] 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: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [04:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [04:55:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [04:55:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [05:00:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd
id: GI Prophylaxis t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 31 n2: 31 st: NotStopd id: Abdominal Assessment t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Angio Appearance #1 t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Angio Appearance #2 t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clean and Dry st: NotStopd id: Motor Response t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Angio Dressing #1 t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Angio Dressing #2 t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Oral Cavity t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Pupil Response R/L t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 4 mm v2: 4 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: Position Change t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: PEEP Set t0: [05:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Pressure Support t0: [05:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: Ventilator Mode t0: [05:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd
pi: 4531445 hi: 10949 t0: [07:00:00 18/02/2016] tf: [21:00:00 29/02/2016] mn: Haloperidol pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [06:42:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: Arterial Base Excess t0: [06:42:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [06:42:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [06:42:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [06:42:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 91 n1: 91 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [06:42:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.47 n1: 7.47 rs: Final st: NotStopd id: SaO2 t0: [06:42:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [06:00:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline t0: [06:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 18/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Tube Feeding t0: [06:00:00 18/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml
id: Dorsal PedPulse R/L t0: [07:00:00 18/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Angio Appearance #1 t0: [07:00:00 18/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Angio Appearance #2 t0: [07:00:00 18/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Angio Dressing #1 t0: [07:00:00 18/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Angio Dressing #2 t0: [07:00:00 18/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: PostTib. Pulses R/L t0: [07:00:00 18/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4531461 hi: 10949 t0: [08:00:00 18/02/2016] tf: [10:00:00 23/02/2016] mn: Metoprolol pt: Unit Dose st: Discontinued rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4531462 hi: 10949 t0: [08:00:00 18/02/2016] tf: [07:00:00 19/02/2016] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 500 ml NS Bolus 500 ml Over 60 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Oral Care t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: .9% Normal Saline t0: [07:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 18/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Tube Feeding t0: [07:00:00 18/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [07:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Service Type t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [07:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [07:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [07:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [07:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [07:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [07:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [07:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [07:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [07:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [07:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [07:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [07:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [07:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rate t0: [07:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [07:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [07:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: Arterial BP t0: [07:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [07:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: Arterial BP t0: [07:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [07:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [07:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [07:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [07:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [07:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [07:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 18/02/2016] 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: [07:10:00 18/02/2016] 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: [07:15:00 18/02/2016] 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: [07:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [07:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [07:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [07:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:10:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:20:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [07:00:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [07:10:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [07:15:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [07:20:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Location t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [07:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Sputum Color/Consist t0: [07:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:15:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: INV Line#2 Type/Site t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#4 Type/Site t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: INV Line#4InsertDate t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: INV Line#4SiteAppear t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#4 WaveformAppear t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: Position Change t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#2 Dsg Change t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: INV#4 Dsg Change t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: Reason For Restraint t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#4 Cap Change t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [05:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: Pt./Family Informed t0: [06:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: WBC (4-11,000) t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 17 n1: 17 rs: Final st: NotStopd id: CaO2 t0: [06:42:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 12.8902 n1: 12.8902 u1: ml/dl st: NotStopd id: WBC t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 17 n1: 17 rs: Final st: NotStopd id: Hematocrit t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 27.2 n1: 27.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 9.7 n1: 9.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 527 n1: 527 rs: Final st: NotStopd id: RBC t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.12 n1: 3.12 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 17 n1: 17 rs: Final st: NotStopd
id: Pain Present t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 18/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 31 n2: 31 st: NotStopd id: Heart Rate t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#4 Type/Site t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: Abdominal Assessment t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Angio Site #1 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: R Femoral st: NotStopd id: Angio Site #2 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: L Femoral st: NotStopd id: Arterial BP t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: INV#4 Dsg Change t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 18/02/2016] 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 18/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: INV#2 Cap Change t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#4 Cap Change t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: Urine Color/Appear t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [07:00:00 18/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 500 vu: ml id: .9% Normal Saline t0: [08:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 18/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Tube Feeding t0: [08:00:00 18/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [08:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Heparin t0: [08:00:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PT t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 13.2 n1: 13.2 rs: Final st: NotStopd id: INR t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 53.2 n1: 53.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 13.2 n1: 13.2 rs: Final st: NotStopd id: PTT(22-35) t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 53.2 n1: 53.2 rs: Final st: NotStopd
id: Angio Site #1 t0: [08:01:00 18/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Angio Site #2 t0: [08:01:00 18/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: BUN t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 37 n1: 37 rs: Final st: NotStopd id: Calcium t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.8 n1: 8.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 95 n1: 95 rs: Final st: NotStopd id: Creatinine t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 132 n1: 132 rs: Final st: NotStopd id: Magnesium t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 132 n1: 132 rs: Final st: NotStopd id: BUN (6-20) t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 37 n1: 37 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.8 n1: 8.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 95 n1: 95 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.4 n1: 1.4 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 132 n1: 132 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:46:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 132 n1: 132 rs: Final st: NotStopd
id: ETT Mark/Location t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 5.8 n1: 5.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2600 n1: 2600 st: NotStopd id: Tank B psi. t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 242 n1: 242 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
pi: 4531939 hi: 10949 t0: [11:00:00 18/02/2016] tf: [13:00:00 18/02/2016] mn: Heparin pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: ASDIR it: N ss: Y di: Ongoing xv: 36 xu: Hours
id: ETT Mark/Location t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 5.4 n1: 5.4 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2600 n1: 2600 st: NotStopd id: Tank B psi. t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 276 n1: 276 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 18/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Follows Commands t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: HOB t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#4 Type/Site t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: Activity t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: Activity Tolerance t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: LL Strength/Movement t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: Level of Conscious t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Arterial BP t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 175 n1: 175 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: Arterial BP t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 157 n1: 157 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Position Change t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 15 n2: 15 st: NotStopd id: INV#4 Dsg Change t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 18/02/2016] 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: [10:00:00 18/02/2016] 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: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: Reason For Restraint t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#4 Cap Change t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: calprevflg t0: [09:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [10:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline t0: [09:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline t0: [10:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline t0: [12:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 18/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 18/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 18/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: Gastric Meds t0: [10:00:00 18/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 120 vu: ml id: Tube Feeding t0: [09:00:00 18/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [10:00:00 18/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [12:00:00 18/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [10:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Heparin t0: [09:00:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:00:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:00:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [12:00:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 400 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: GI Prophylaxis t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 31 n2: 31 st: NotStopd id: Abdominal Assessment t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLL Lung Sounds t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Motor Response t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: RLL Lung Sounds t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
pi: 4532576 hi: 10949 t0: [14:00:00 18/02/2016] tf: [22:00:00 18/02/2016] mn: Heparin pt: IV Piggyback st: Discontinued rt: IV fr: ASDIR it: N ss: Y di: Ongoing xv: 36 xu: Hours
id: Art.pH t0: [14:02:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: CaO2 t0: [14:02:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 12.9119 n1: 12.9119 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [14:02:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [14:02:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Arterial PaCO2 t0: [14:02:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 45 n1: 45 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [14:02:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 98 n1: 98 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [14:02:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.43 n1: 7.43 rs: Final st: NotStopd id: SaO2 t0: [14:02:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: PEEP Set t0: [14:41:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd
id: Service Type t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Arterial BP t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 161 n1: 161 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Assistance Device t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 18/02/2016] 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: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: calprevflg t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [13:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [13:00:00 18/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Tube Feeding t0: [13:00:00 18/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [13:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 320 vu: ml
id: Heparin t0: [13:00:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline t0: [14:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline t0: [15:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 18/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 6 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [15:00:00 18/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 4 vu: ml id: Tube Feeding t0: [14:00:00 18/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [15:00:00 18/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [15:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 220 vu: ml
id: Service Type t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [15:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [08:00:00 18/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml
id: Heparin t0: [14:00:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [15:00:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: ETT Mark/Location t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 4.1 n1: 4.1 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2600 n1: 2600 st: NotStopd id: Tank B psi. t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 191 n1: 191 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Health Care Proxy t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GU Cath Insert Date t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 31 n2: 31 st: NotStopd id: Heart Rate t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#4 Type/Site t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: INV Line#4SiteAppear t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#4SiteAppear t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#4 WaveformAppear t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: INV#4 WaveformAppear t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: LLL Lung Sounds t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Arterial BP t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 148 n1: 148 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 15 n2: 15 st: NotStopd id: INV#4 Dsg Change t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 18/02/2016] 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: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 18/02/2016] 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 18/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: INV#2 Cap Change t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#4 Cap Change t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: Temp. Site t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Heparin t0: [16:00:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [17:00:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
pi: 4533601 hi: 10949 t0: [18:00:00 18/02/2016] tf: [17:00:00 19/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Alarms t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: Impaired Skin Site#1 t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: Position Change t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Risk For Falling st: NotStopd id: Removed x 5 Mins t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [14:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline t0: [16:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline t0: [18:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [16:00:00 18/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 6 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [18:00:00 18/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 12 vu: ml id: Tube Feeding t0: [16:00:00 18/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [18:00:00 18/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml
id: Art.pH t0: [17:44:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd id: Arterial Base Excess t0: [17:44:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [17:44:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [17:44:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [17:44:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 125 n1: 125 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [17:44:00 18/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.45 n1: 7.45 rs: Final st: NotStopd
id: Urine Out Foley t0: [18:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Service Type t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 178 n1: 178 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [09:00:00 18/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: D5W 100.0ml t0: [17:00:00 18/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml
id: Heparin t0: [18:00:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: HOB t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: Oral Care t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Back Care t0: [12:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
pi: 4533999 hi: 10949 t0: [20:00:00 18/02/2016] tf: [01:00:00 19/02/2016] mn: Propofol pt: Unit Dose st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 186 n1: 186 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [19:00:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Follows Commands t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: LL Strength/Movement t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: Pain Location t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: RL Strength/Movement t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: Spontaneous Movement t0: [16:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Temp. Site t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd
id: .9% Normal Saline t0: [19:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [19:00:00 18/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 6 vu: ml id: Tube Feeding t0: [19:00:00 18/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [19:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Sputum Color/Consist t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd
id: ETT Mark/Location t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 6.8 n1: 6.8 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 31 n1: 31 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: 240 n1: 240 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 18/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: GI Prophylaxis t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 31 n2: 31 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#4 Type/Site t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: INV Line#4SiteAppear t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: INV#4 WaveformAppear t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: LL Strength/Movement t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 15 n2: 15 st: NotStopd id: INV#4 Dsg Change t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: RL Strength/Movement t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: INV#2 Cap Change t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#4 Cap Change t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: Urine Source t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
pi: 4534154 hi: 10949 t0: [21:00:00 18/02/2016] tf: [20:00:00 21/02/2016] mn: Oxymetazoline HCl pt: Unit Dose st: Expired rt: NU fr: BID:PRN dt: 3 di: Days xv: 36 xu: Hours
pi: 4534425 hi: 10949 t0: [23:00:00 18/02/2016] tf: [22:00:00 19/02/2016] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 23 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: Arterial BP t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: Arterial BP t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 18/02/2016] 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: [21:00:00 18/02/2016] 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: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Heparin t0: [20:00:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:00:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:00:00 18/02/2016] el: 2 cg: RN cu: CCU vo: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Pain Present t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Location t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Sputum Color/Consist t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd
id: .9% Normal Saline t0: [20:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline t0: [22:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 18/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 18/02/2016] el: 2 ai: 117 cg: RN cu: CCU vo: 6 vu: ml id: Gastric Meds t0: [20:00:00 18/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 50 vu: ml id: Gastric Meds t0: [22:00:00 18/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 50 vu: ml id: GT Flush t0: [20:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 50 vu: ml id: GT Flush t0: [22:00:00 18/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 30 vu: ml id: Tube Feeding t0: [20:00:00 18/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [22:00:00 18/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [22:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 340 vu: ml
id: PO/Gastric In Total t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU cv: 300 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU cv: 1035 ac: 24 ap: none re: 0
id: GI#1 Tube PlaceCheck t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Urine Color/Appear t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Pink v2: Clear st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: Oral Care t0: [19:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Support Systems t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [22:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Service Type t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 156 n1: 156 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: Arterial BP t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 150 n1: 150 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 19/02/2016] 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 18/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 19/02/2016] 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 18/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [00:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [00:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [23:00:00 18/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Total Hourly Output t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU pv: 80 cv: 80 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU pv: 80 cv: 3070 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU pv: 80 cv: 3070 ac: 24 ap: none re: 0
id: ETT Mark/Location t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 6.5 n1: 6.5 u1: L/min st: NotStopd id: PEEP Set t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Ve High t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 240 n1: 240 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:20:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 161 n1: 161 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 19/02/2016] 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 19/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 36.9444 n1: 36.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 98.5 n1: 98.5 u1: Deg. F st: NotStopd id: calprevflg t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Pain Cause t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Location t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: D5W 100.0ml t0: [00:00:00 19/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W 100.0ml t0: [01:00:00 19/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 150 vu: ml id: D5W 100.0ml t0: [22:00:00 18/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline t0: [01:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [00:00:00 19/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml st: Stopped id: Urine Out Foley t0: [01:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 440 vu: ml
id: Tube Feeds In Total t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU cv: 90 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Education Topic #1 t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 31 n2: 31 st: NotStopd id: Abdominal Assessment t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: LL Strength/Movement t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position Change t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: RL Strength/Movement t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Urine Color/Appear t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: HOB t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#4 Type/Site t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: INV Line#4SiteAppear t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#4 WaveformAppear t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sharp st: NotStopd id: Activity t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Oral Care t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 15 n2: 15 st: NotStopd id: INV#4 Dsg Change t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: Skin Care t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#2 Cap Change t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#4 Cap Change t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [00:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [21:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [23:00:00 18/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Art.pH t0: [01:48:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: CaO2 t0: [01:48:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 12.8778 n1: 12.8778 u1: ml/dl st: NotStopd id: Arterial Base Excess t0: [01:48:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [01:48:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Arterial PaCO2 t0: [01:48:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 42 n1: 42 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [01:48:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 87 n1: 87 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [01:48:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.49 n1: 7.49 rs: Final st: NotStopd id: SaO2 t0: [01:48:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 u1: % rs: Final st: NotStopd
id: Pain Present t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Oral Care t0: [01:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Arterial BP t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Pain Location t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [02:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 240 vu: ml
id: Service Type t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 175 n1: 175 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [03:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Sputum Color/Consist t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd
id: .9% Normal Saline t0: [03:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 19/02/2016] el: 2 ai: 117 cg: RN cu: CCU vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 19/02/2016] el: 2 ai: 117 cg: RN cu: CCU vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 19/02/2016] el: 2 ai: 117 cg: RN cu: CCU vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 18/02/2016] el: 2 ai: 117 cg: RN cu: CCU vu: ml st: Stopped
id: IV Infusion In Total t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU cv: 1606 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU cv: 2941 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU pv: -80 cv: -129 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU pv: -80 cv: -2005.02 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 18/02/2016] el: 2 cg: RN cu: CCU pv: -80 cv: -80 ac: 1 ap: none re: 0
id: D5W 100.0ml t0: [03:00:00 19/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 500 vu: ml id: Urine Out Foley t0: [03:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 450 vu: ml
id: RSBI (<100) t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 139.535 n1: 139.535 u1: units st: NotStopd id: ETT Mark/Location t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 7.16 n1: 7.16 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: . st: NotStopd id: RSBI (<200) t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 139.535 n1: 139.535 u1: units st: NotStopd id: Resp Rate (Total) t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2600 n1: 2600 st: NotStopd id: Tank B psi. t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 36 n1: 36 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 0.258 n1: 0.258 u1: L st: NotStopd id: Sputum Color/Consist t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Spont) t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 273 n1: 273 u1: ml/B st: NotStopd id: Ventilator Mode t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [04:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Pain Present t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 153 n1: 153 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Pain Location t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Arterial BP Mean t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: calprevflg t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [04:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [04:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 340 vu: ml
id: GI Prophylaxis t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 31 n2: 31 st: NotStopd id: Abdominal Assessment t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pupil Response R/L t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 4 mm v2: 4 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: HOB t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Perineum st: NotStopd id: Position t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Pt./Family Informed t0: [02:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Service Type t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Respiratory Rate t0: [20:00:00 18/02/2016] el: 0 cg: RN cu: CCU u1: BPM st: NotStopd
id: Art.pH t0: [05:36:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.48 n1: 7.48 rs: Final st: NotStopd id: Arterial Base Excess t0: [05:36:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 9 n1: 9 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [05:36:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 36 n1: 36 rs: Final st: NotStopd id: Arterial PaCO2 t0: [05:36:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 47 n1: 47 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [05:36:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 84 n1: 84 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [05:36:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.48 n1: 7.48 rs: Final st: NotStopd id: SaO2 t0: [05:36:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 96 n1: 96 u1: % rs: Final st: NotStopd
id: WBC (4-11,000) t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 18.9 n1: 18.9 rs: Final st: NotStopd id: CaO2 t0: [05:36:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 11.9666 n1: 11.9666 u1: ml/dl st: NotStopd id: WBC t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 18.9 n1: 18.9 rs: Final st: NotStopd id: Hematocrit t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 26.5 n1: 26.5 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 9.1 n1: 9.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 552 n1: 552 rs: Final st: NotStopd id: RBC t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.99 n1: 2.99 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 18.9 n1: 18.9 rs: Final st: NotStopd
id: .9% Normal Saline t0: [06:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [06:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 250 vu: ml
id: BUN t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Calcium t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 rs: Final st: NotStopd id: Creatinine t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Magnesium t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.8 n1: 2.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd id: BUN (6-20) t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 97 n1: 97 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.8 n1: 2.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd
id: PT t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 13.6 n1: 13.6 rs: Final st: NotStopd id: INR t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 29.1 n1: 29.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 13.6 n1: 13.6 rs: Final st: NotStopd id: PTT(22-35) t0: [05:18:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 29.1 n1: 29.1 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Arterial BP t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#2 Type/Site t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#4 Type/Site t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4InsertDate t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: INV Line#4SiteAppear t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Oral Care t0: [04:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Arterial BP t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 15 n2: 15 st: NotStopd id: INV#4 Dsg Change t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: INV#2 Cap Change t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#4 Cap Change t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [05:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: calprevflg t0: [07:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: ETT Mark/Location t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 6.5 n1: 6.5 u1: L/min st: NotStopd id: PEEP Set t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Tank A psi. t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2600 n1: 2600 st: NotStopd id: Tank B psi. t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 253 n1: 253 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [07:58:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
pi: 4535478 hi: 10949 t0: [10:00:00 19/02/2016] tf: [09:00:00 20/02/2016] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 19/02/2016] 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: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: calprevflg t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [09:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [09:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: IV Infusion In Total t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU cv: 1770 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU cv: 3630 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU cv: 4225 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU cv: -595 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU cv: -2600.02 ac: multiple days ap: none re: 0 id: Net Hourly Balance t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU cv: 4225 ac: 24 ap: none re: 0
id: Service Type t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Arterial BP t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 173 n1: 173 u1: mmHg v2: 106 n2: 106 u2: mmHg st: NotStopd id: Arterial BP t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 19/02/2016] 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: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [10:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: ETT Mark/Location t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 20cm v2: Lip st: NotStopd id: FiO2 Set t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Endotracheal st: NotStopd id: Inspired Gas Temp t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2600 n1: 2600 st: NotStopd id: Tank B psi. t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 223 n1: 223 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 97 n2: 97 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [12:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Risk for Falls t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Arterial BP t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 156 n1: 156 u1: mmHg v2: 103 n2: 103 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU st: NotStopd id: Procedures t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU st: NotStopd id: Respiratory Rate t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Significant Events t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: OR Sent st: NotStopd id: Significant Events t0: [14:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: OR Sent st: NotStopd id: Significant Events t0: [15:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: OR Sent st: NotStopd id: SpO2 t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [13:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Compliance (40-60ml) t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 12.7273 n1: 12.7273 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: I:E Ratio t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 1:2.8 st: NotStopd id: Airway Size t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 4.8 n1: 4.8 u1: L/min st: NotStopd id: PEEP Set t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 296 n1: 296 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Ventilator Type t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:48:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
pi: 4537047 hi: 10949 t0: [18:00:00 19/02/2016] tf: [01:00:00 20/02/2016] mn: Propofol pt: Unit Dose st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xv: 36 xu: Hours pi: 4537048 hi: 10949 t0: [18:00:00 19/02/2016] tf: [17:00:00 20/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [17:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rate t0: [17:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [17:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Manual BP t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Manual BP Mean(calc) t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 82.6667 n1: 82.6667 u1: mmHg st: NotStopd id: NBP t0: [17:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [17:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [17:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 19/02/2016] 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: [17:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [17:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [17:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [17:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [17:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [17:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [17:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4537140 hi: 10949 t0: [20:00:00 19/02/2016] tf: [20:00:00 07/03/2016] mn: Dorzolamide 2%/Timolol 0.5% Ophth. pt: Unit Dose st: Discontinued via patient discharge rt: BOTH EYES fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4537141 hi: 10949 t0: [22:00:00 19/02/2016] tf: [15:00:00 26/02/2016] mn: Latanoprost 0.005% Ophth. Soln. pt: Unit Dose st: Discontinued rt: BOTH EYES fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4537142 hi: 10949 t0: [22:00:00 19/02/2016] tf: [19:00:00 03/03/2016] mn: Artificial Tear Ointment pt: Unit Dose st: Discontinued rt: BOTH EYES fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours pi: 4537143 hi: 10949 t0: [19:00:00 19/02/2016] tf: [15:00:00 26/02/2016] mn: Brimonidine Tartrate 0.15% Ophth. pt: Unit Dose st: Discontinued rt: BOTH EYES fr: Q8H ds: 19, 3, 11 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [17:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Very Sedated st: NotStopd id: Risk for Falls t0: [17:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [17:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 153 n1: 153 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [17:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Pain Location t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [17:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:45:00 19/02/2016] 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: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [17:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [17:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Significant Events t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: OR Received st: NotStopd
id: .9% Normal Saline t0: [10:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline t0: [11:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline t0: [12:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline t0: [13:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline t0: [17:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: OR Crystalloid t0: [17:00:00 19/02/2016] el: 2 ai: 124 cg: RN cu: CCU vo: 1600 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [11:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 150 vu: ml id: Urine Out Foley t0: [13:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 140 vu: ml id: Urine Out Foley t0: [17:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: .9% Normal Saline t0: [18:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 250 vu: ml
id: GT Flush t0: [09:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 100 vu: ml
id: Temp. Site t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temp. Site t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 35.3333 n1: 35.3333 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 95.6 n1: 95.6 u1: Deg. F st: NotStopd id: Temperature F t0: [18:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd
id: Propofol io: N/A 50.0vl + 500mcgkgmin Propofol el: 200 cg: RN cu: CCU am: 500 du: mcgkgmin rt: IV Drip
id: Pain Present t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 156 n1: 156 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [19:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [19:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Propofol t0: [17:00:00 19/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 13 du: mcgkgmin so: N/A sv: 100 su: vl rt: IV Drip id: Propofol t0: [18:00:00 19/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 13 du: mcgkgmin so: N/A sv: 100 su: vl rt: IV Drip id: Propofol t0: [19:00:00 19/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 13 du: mcgkgmin so: N/A sv: 100 su: vl rt: IV Drip
id: GI Prophylaxis t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Eye Opening t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Follows Commands t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: points st: NotStopd id: Abdominal Assessment t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: LUL Lung Sounds t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: Motor Response t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Oral Cavity t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: RLL Lung Sounds t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: RUL Lung Sounds t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: Respiratory Pattern t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Urine Color/Appear t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Verbal Response t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Hypoactive st: NotStopd
id: Less Restrict Meas. t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Medications st: NotStopd id: Family Communication t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: HOB t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 15 degrees st: NotStopd id: INV Line#2 Type/Site t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#4 Type/Site t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: A-Line v2: Left Radial st: NotStopd id: INV Line#4 Zero/Cal t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: INV Line#4InsertDate t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 10 n2: 10 st: NotStopd id: Activity t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 15 n2: 15 st: NotStopd id: INV#4 Dsg Change t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 12 n2: 12 st: NotStopd id: Reason For Restraint t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: BehaviorSubsided st: NotStopd id: Side Rails t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Dry st: NotStopd id: Support Systems t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#4 Cap Change t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: INV#4 Tubing Change t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 13 n2: 13 st: NotStopd id: Therapeutic Bed t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: In-Line Sx Change t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: WarmingDevice/Status t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Blanket v2: On st: NotStopd id: Behavior t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Appropriate st: NotStopd id: Pt./Family Informed t0: [17:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: GI Prophylaxis t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: Eye Opening t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Oral st: NotStopd id: GI#1 Tube PlaceCheck t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 31 n2: 31 st: NotStopd id: Abdominal Assessment t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: RL Strength/Movement t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [08:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline t0: [20:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [20:00:00 19/02/2016] el: 1 ai: 126 cg: RN cu: CCU vu: ml nb: 1 id: Urine Out Foley t0: [20:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 365 vu: ml
id: Trach Insert Date t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 16.4706 n1: 16.4706 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: Cuff Pressure-Airway t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: FiO2 Set t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 1:2.8 st: NotStopd id: Airway Size t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 6.9 n1: 6.9 u1: L/min st: NotStopd id: PEEP Set t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 313 n1: 313 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Propofol io: N/A 100.0vl + 1000mcgkgmin Propofol el: 101 cg: RN cu: CCU am: 1000 du: mcgkgmin rt: IV Drip
id: ETT Mark/Location t0: [20:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: ETT Position Change t0: [20:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Extubation Date t0: [20:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#4 Type/Site t0: [20:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#4 Zero/Cal t0: [20:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#4InsertDate t0: [20:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#4SiteAppear t0: [20:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#4 WaveformAppear t0: [20:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#4 Dsg Change t0: [20:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#4 Cap Change t0: [20:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#4 Tubing Change t0: [20:00:00 19/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 19/02/2016] el: 2 ai: 117 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Pain Present t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Risk for Falls t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Pain Location t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [20:00:00 19/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: N/A sv: 100 su: vl rt: IV Drip
id: Trach Insert Date t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: ETT Mark/Location t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU st: NotStopd id: FiO2 Set t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 6.7 n1: 6.7 u1: L/min st: NotStopd id: PEEP Set t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Ve High t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 322 n1: 322 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:15:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Urine Out Foley t0: [20:30:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 440 vu: ml
id: Diet Type t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Eye Opening t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GU Cath Insert Date t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 31 n2: 31 st: NotStopd id: LL Strength/Movement t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: Level of Conscious t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pupil Response R/L t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 4 mm v2: 4 mm st: NotStopd id: RU Strength/Movement t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: Respiratory Pattern t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Source t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 3way Foley st: NotStopd id: Verbal Response t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: GI Prophylaxis t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Abdominal Assessment t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLE Temp/Color t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUE Temp/Color t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Oral Cavity t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: RLE Temp/Color t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUE Temp/Color t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Stool Guaiac t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Bowel Sounds t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sig Othr/Family st: NotStopd id: Education Method t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [19:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Position Change t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Support Systems t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: HOB t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: Activity t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Position t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 15 n2: 15 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Therapeutic Bed t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: In-Line Sx Change t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd
id: Oral Care t0: [20:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: .9% Normal Saline t0: [21:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [21:00:00 19/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 40 vu: ml id: GT Flush t0: [21:00:00 19/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [21:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 220 vu: ml
id: PO/Gastric In Total t0: [23:00:00 19/02/2016] el: 2 cg: RN cu: CCU cv: 170 ac: 24 ap: none re: 0
id: Service Type t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [21:00:00 19/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: N/A sv: 100 su: vl rt: IV Drip
id: Service Type t0: [21:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:40:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:40:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:40:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [21:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:40:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [21:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [21:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [21:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [21:40:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [21:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP t0: [21:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: NBP t0: [21:40:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: NBP Mean t0: [21:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: NBP Mean t0: [21:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: mmHg st: NotStopd id: NBP Mean t0: [21:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: NBP Mean t0: [21:40:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: Precautions t0: [21:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [21:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [21:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [21:40:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:40:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:15:00 19/02/2016] 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: [21:30:00 19/02/2016] 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: [21:35:00 19/02/2016] 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: [21:40:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:40:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:40:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:40:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [21:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [21:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [21:40:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [21:15:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:40:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [22:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 19/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Propofol t0: [21:15:00 19/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: N/A sv: 100 su: vl rt: IV Drip id: Propofol t0: [21:30:00 19/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: N/A sv: 100 su: vl rt: IV Drip
id: Service Type t0: [21:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:55:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:55:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:55:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:55:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [21:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [21:55:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: NBP t0: [21:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: NBP t0: [21:55:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [21:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: NBP Mean t0: [21:55:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [21:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [21:55:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:55:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:45:00 19/02/2016] 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: [21:55:00 19/02/2016] 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: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:55:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:55:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:55:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: calprevflg t0: [21:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:55:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [21:35:00 19/02/2016] el: 2 cg: RN cu: CCU vo: 0 du: mcgkgmin so: N/A sv: 100 su: vl rt: IV Drip st: Stopped id: Propofol t0: [21:40:00 19/02/2016] el: 2 cg: RN cu: CCU vo: 0 du: mcgkgmin so: N/A sv: 100 su: vl rt: IV Drip
id: Riker-SAS Scale t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Ectopy Frequency t0: [21:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:40:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:55:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:40:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:55:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Heart Rhythm t0: [21:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:40:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:45:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:55:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: SpO2 t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd
id: Service Type t0: [22:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [22:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [22:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [22:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [22:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [22:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [22:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [22:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [22:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [22:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Location t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [22:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: D5W 100.0ml t0: [21:40:00 19/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 500 vu: ml id: Urine Out Foley t0: [22:00:00 19/02/2016] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Service Type t0: [19:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [19:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [19:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [19:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [19:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [19:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rate t0: [19:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [19:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [19:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [19:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [19:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [19:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 19/02/2016] 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: [19:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [19:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [19:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [19:30:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:35:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Propofol t0: [19:30:00 19/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: N/A sv: 100 su: vl rt: IV Drip id: Propofol t0: [19:35:00 19/02/2016] el: 2 cg: RN cu: CCU vo: 0 do: 14 du: mcgkgmin so: N/A sv: 100 su: vl rt: IV Drip
id: WBC (4-11,000) t0: [22:09:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.4 n1: 16.4 rs: Final st: NotStopd id: WBC t0: [22:09:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.4 n1: 16.4 rs: Final st: NotStopd id: Hematocrit t0: [22:09:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 25 n1: 25 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [22:09:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.3 n1: 8.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [22:09:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 555 n1: 555 rs: Final st: NotStopd id: RBC t0: [22:09:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.78 n1: 2.78 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [22:09:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 16.4 n1: 16.4 rs: Final st: NotStopd
pi: 4537988 hi: 10949 t0: [00:00:00 20/02/2016] tf: [23:00:00 20/02/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4537989 hi: 10949 t0: [00:00:00 20/02/2016] tf: [23:00:00 20/02/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Calcium t0: [12:00:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Creatinine t0: [12:00:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [12:00:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 89 n1: 89 rs: Final st: NotStopd id: Magnesium t0: [12:00:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Potassium t0: [12:00:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [12:00:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.7 n1: 7.7 u1: mg/dl rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [12:00:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [12:00:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 89 n1: 89 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [12:00:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [12:00:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd
id: Service Type t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: Code Status t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [23:00:00 19/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Art.pH t0: [23:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd id: Arterial Base Excess t0: [23:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 7 n1: 7 rs: Final st: NotStopd id: Arterial CO2(Calc) t0: [23:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Arterial PaCO2 t0: [23:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 46 n1: 46 u1: mmHg rs: Final st: NotStopd id: Arterial PaO2 t0: [23:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 u1: mmHg rs: Final st: NotStopd id: Arterial pH t0: [23:40:00 19/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.46 n1: 7.46 rs: Final st: NotStopd
id: Trach Insert Date t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 6.8 n1: 6.8 u1: L/min st: NotStopd id: PEEP Set t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Ve High t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: 309 n1: 309 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [23:45:00 19/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: Code Status t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [00:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [00:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 320 vu: ml
id: Trach Insert Date t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 1:2.8 st: NotStopd id: Airway Size t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 3.5 n1: 3.5 st: NotStopd id: Mean Airway Pressure t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 u1: L/min st: NotStopd id: PEEP Set t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 272 n1: 272 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Type t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:40:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [01:10:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:10:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 7 n1: 7 u1: mmHg st: NotStopd id: CVP t0: [01:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [01:10:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:10:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:10:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:10:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:10:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:10:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [01:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [01:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:10:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [01:10:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: NBP t0: [01:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [01:10:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg st: NotStopd id: NBP Mean t0: [01:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: NBP Mean t0: [01:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [01:10:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [01:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [01:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:10:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:10:00 20/02/2016] 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: [01:15:00 20/02/2016] 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: [01:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:10:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:10:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:10:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [01:10:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [01:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [01:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [01:10:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [01:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [01:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP Mean t0: [01:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: Precautions t0: [01:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Significant Events t0: [01:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [01:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [01:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [01:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [01:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [01:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [01:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [01:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [01:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [01:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: SpO2 t0: [01:45:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [01:45:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [01:45:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd
id: Service Type t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: Code Status t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [01:00:00 20/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 500 vu: ml id: .9% Normal Saline t0: [01:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline t0: [02:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [02:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 220 vu: ml
id: Service Type t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: mmHg st: NotStopd id: Code Status t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 20/02/2016] 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: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline t0: [04:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [04:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 180 vu: ml
id: HOB t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Assistance Device t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: In-Line Sx Change t0: [00:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd
id: Trach Insert Date t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 18.6667 n1: 18.6667 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 105.882 n1: 105.882 u1: units st: NotStopd id: Cuff Leak t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 1:2.8 st: NotStopd id: Airway Size t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 3.5 n1: 3.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: L/min st: NotStopd id: PEEP Set t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: cmH2O st: NotStopd id: RSBI (<200) t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 105.882 n1: 105.882 u1: units st: NotStopd id: Resp Rate (Spont) t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spon RR (Mech.) t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 0.255 n1: 0.255 u1: L st: NotStopd id: Sputum Color/Consist t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 289 n1: 289 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:50:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Temp. Site t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 37.8889 n1: 37.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100.2 n1: 100.2 u1: Deg. F st: NotStopd
id: Trach Insert Date t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Airway Size t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Sputum Color/Consist t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Trach Cuff/Fenestra t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: #7 st: NotStopd id: Tracheostomy Type t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Portex st: NotStopd id: Ventilator Type t0: [04:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd
id: .9% Normal Saline t0: [06:00:00 20/02/2016] el: 1 ai: 107 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Service Type t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 u1: mmHg st: NotStopd id: CVP t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 u1: mmHg st: NotStopd id: Code Status t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 20/02/2016] 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: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [06:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: WBC (4-11,000) t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: WBC t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd id: Hematocrit t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 23.8 n1: 23.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 516 n1: 516 rs: Final st: NotStopd id: RBC t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.64 n1: 2.64 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 15 n1: 15 rs: Final st: NotStopd
pi: 4538689 hi: 10949 t0: [08:00:00 20/02/2016] tf: [08:00:00 20/02/2016] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 8 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: PT t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 13.1 n1: 13.1 rs: Final st: NotStopd id: INR t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 26.2 n1: 26.2 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 13.1 n1: 13.1 rs: Final st: NotStopd id: PTT(22-35) t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 26.2 n1: 26.2 rs: Final st: NotStopd
id: Service Type t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [07:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [07:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [07:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [07:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rate t0: [07:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP t0: [07:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: NBP Mean t0: [07:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [07:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 20/02/2016] 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: [07:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Significant Events t0: [07:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [07:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [07:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 250 vu: ml
id: BUN t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Calcium t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 rs: Final st: NotStopd id: Creatinine t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 82 n1: 82 rs: Final st: NotStopd id: Magnesium t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd id: BUN (6-20) t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.4 n1: 7.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 100 n1: 100 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 82 n1: 82 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:29:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 139 n1: 139 rs: Final st: NotStopd
id: Service Type t0: [07:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [07:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [07:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [07:35:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [07:40:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [07:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [07:50:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [07:55:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [07:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [07:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [07:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: mmHg st: NotStopd id: CVP t0: [07:35:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: mmHg st: NotStopd id: CVP t0: [07:40:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: CVP t0: [07:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [07:50:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: CVP t0: [07:55:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Code Status t0: [07:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [07:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [07:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [07:35:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [07:40:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [07:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [07:50:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [07:55:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [07:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [07:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [07:35:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [07:40:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [07:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [07:50:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [07:55:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:35:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:40:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:50:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:55:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [07:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [07:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [07:35:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [07:40:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [07:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [07:50:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [07:55:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: NBP t0: [07:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP t0: [07:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: NBP t0: [07:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP t0: [07:35:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: NBP t0: [07:40:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: NBP t0: [07:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: NBP t0: [07:50:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: NBP t0: [07:55:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [07:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: NBP Mean t0: [07:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: NBP Mean t0: [07:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: NBP Mean t0: [07:35:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: NBP Mean t0: [07:40:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: NBP Mean t0: [07:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: NBP Mean t0: [07:50:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: NBP Mean t0: [07:55:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [07:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [07:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [07:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [07:35:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [07:40:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [07:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [07:50:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [07:55:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:35:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:40:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:50:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [07:55:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:20:00 20/02/2016] 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: [07:25:00 20/02/2016] 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: [07:30:00 20/02/2016] 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: [07:35:00 20/02/2016] 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: [07:40:00 20/02/2016] 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: [07:45:00 20/02/2016] 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: [07:50:00 20/02/2016] 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: [07:55:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:35:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:40:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:50:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:55:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:35:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:40:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:50:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:55:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:35:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:40:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:50:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:55:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [07:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [07:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [07:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [07:35:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [07:40:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [07:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [07:50:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [07:55:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:20:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:25:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:35:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:40:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:50:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:55:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Significant Events t0: [07:50:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Fluid Bolus st: NotStopd
id: D5W 100.0ml t0: [07:50:00 20/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:50:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 8.33333 vu: ml
id: Service Type t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Code Status t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 1.66667 vu: ml id: Urine Out Foley t0: [08:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml
pi: 4538746 hi: 10949 t0: [09:00:00 20/02/2016] tf: [12:00:00 20/02/2016] mn: Norepinephrine pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: Trach Insert Date t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 13.3333 n1: 13.3333 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 3.5 n1: 3.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 5.1 n1: 5.1 u1: L/min st: NotStopd id: PEEP Set t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 299 n1: 299 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:03:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Pain Present t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Right Nare st: NotStopd id: Health Care Proxy t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Right Nare st: NotStopd id: GU Cath Insert Date t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 31 n2: 31 st: NotStopd id: Heart Rate t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: LL Strength/Movement t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Orientation t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position Change t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 15 n2: 15 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Temp. Site t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Urine Source t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 3way Foley st: NotStopd id: Verbal Response t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [08:00:00 20/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:30:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [08:30:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Service Type t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: mmHg st: NotStopd id: Code Status t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [09:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [09:00:00 20/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [09:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Trach Insert Date t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 3.5 n1: 3.5 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 266 n1: 266 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
pi: 4539188 hi: 10949 t0: [12:00:00 20/02/2016] tf: [11:00:00 21/02/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4539189 hi: 10949 t0: [12:00:00 20/02/2016] tf: [11:00:00 21/02/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4539190 hi: 10949 t0: [12:00:00 20/02/2016] tf: [10:00:00 27/02/2016] mn: Fentanyl Patch pt: Unit Dose st: Inactive (Due to a change order) rt: TP fr: Q72H dn: 0 di: Ongoing xv: 36 xu: Hours
id: CVP t0: [12:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Imp Skin Cleanse #1 t0: [12:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: ImpSkin Character #1 t0: [12:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: ImpSkin Treatment #1 t0: [12:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Impaired Skin Site#1 t0: [12:00:00 20/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: N/A 100.0vl + 1000mcgkgmin Propofol t0: [12:00:00 20/02/2016] el: 1 ai: 126 cg: -1 cu: CCU vo: 0 st: D/C'd
pi: 4539416 hi: 10949 t0: [13:00:00 20/02/2016] tf: [09:00:00 29/02/2016] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4539417 hi: 10949 t0: [13:00:00 20/02/2016] tf: [12:00:00 21/02/2016] mn: Multi pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 13 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Less Restrict Meas. t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: CVP t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: mmHg st: NotStopd id: CVP t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: mmHg st: NotStopd id: Circulation/SkinInt t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Right Nare st: NotStopd id: Health Care Proxy t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Right Nare st: NotStopd id: GU Cath Insert Date t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 v2: 31 n2: 31 st: NotStopd id: HOB t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [11:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [11:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: Abdominal Assessment t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Activity t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LU Strength/Movement t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP t0: [11:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: NBP Mean t0: [11:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [11:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 15 n2: 15 st: NotStopd id: ABP Alarm (Lo/Hi) t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 20/02/2016] 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: [11:00:00 20/02/2016] 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 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 20/02/2016] 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 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Color t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [11:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Therapeutic Bed t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 3way Foley st: NotStopd id: In-Line Sx Change t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Verbal Response t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Bowel Sounds t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:15:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 22.5 vu: ml
id: Pain Present t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Service Type t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 156 n1: 156 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Pain Location t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Precautions t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: calprevflg t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [12:00:00 20/02/2016] el: 1 ai: 128 cg: RN cu: CCU vu: ml nb: 1 id: .9% Normal Saline 1000.0ml t0: [12:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 7.5 vu: ml id: Packed RBC's t0: [11:15:00 20/02/2016] el: 2 ai: 255 cg: RN cu: CCU vo: 0 vu: ml uu: Units nb: 1 id: Tube Feeding t0: [12:00:00 20/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: IV Infusion In Total t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU cv: 1890 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU cv: 100 ac: 24 ap: none re: 0 id: Blood Products Total t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU cv: 654 ac: 24 ap: none re: 0
id: Gastric Meds t0: [12:00:00 20/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 120 vu: ml id: Urine Out Foley t0: [12:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: 24h Total In t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU cv: 2764 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU cv: 120 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU cv: 1550 ac: 24 ap: carryForward re: 0 id: 24h Net Body Balance t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU cv: 1214 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU cv: -1386.02 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU cv: 1550 ac: 24 ap: carryForward re: 0
id: Service Type t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [13:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [13:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [13:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [13:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [14:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [13:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [13:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [14:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP t0: [13:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: NBP t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: NBP t0: [13:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP t0: [14:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: NBP Mean t0: [13:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: NBP Mean t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: NBP Mean t0: [13:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: NBP Mean t0: [14:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [13:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [13:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [14:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 20/02/2016] 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: [13:15:00 20/02/2016] 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: [13:30:00 20/02/2016] 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: [13:45:00 20/02/2016] 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: [14:00:00 20/02/2016] 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: [14:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [13:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [13:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [14:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: calprevflg t0: [13:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:45:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:15:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Trach Insert Date t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: MDI #1 (Puff/Drug) t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 6.1 n1: 6.1 u1: L/min st: NotStopd id: PEEP Set t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 286 n1: 286 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [15:14:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Right Nare st: NotStopd id: Health Care Proxy t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Intub #1/Site t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Right Nare st: NotStopd id: GU Cath Insert Date t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: NBP t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Position t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [13:30:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: calprevflg t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Packed RBC's t0: [15:00:00 20/02/2016] el: 2 ai: 255 cg: RN cu: CCU vo: 375 vu: ml uu: Units id: Packed RBC's t0: [15:30:00 20/02/2016] el: 2 ai: 255 cg: RN cu: CCU vo: 0 vu: ml uu: Units nb: 1 id: Tube Feeding t0: [13:00:00 20/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [14:00:00 20/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [15:00:00 20/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [13:00:00 20/02/2016] el: 1 cg: RN cu: CCU vu: ml es: Small id: Urine Out Foley t0: [14:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Service Type t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temp. Site t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Temperature F t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: calprevflg t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Packed RBC's t0: [16:00:00 20/02/2016] el: 2 ai: 255 cg: RN cu: CCU vo: 46.5 vu: ml uu: Units id: Tube Feeding t0: [16:00:00 20/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [16:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Less Restrict Meas. t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Less Restrict Meas. t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Pain Present t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Right Nare st: NotStopd id: Education Topic #1 t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Follows Commands t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Right Nare st: NotStopd id: GU Cath Insert Date t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Activity t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: RL Strength/Movement t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUE Temp/Color t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Verbal Response t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [14:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: D5W 100.0ml t0: [16:00:00 20/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml
id: Service Type t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Packed RBC's t0: [17:00:00 20/02/2016] el: 2 ai: 255 cg: RN cu: CCU vo: 93 vu: ml uu: Units id: Tube Feeding t0: [17:00:00 20/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [17:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Sputum Color/Consist t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Color/Consist t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Color/Consist t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [10:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Sputum Source/Amt t0: [12:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd
id: Stool Color/Consist t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Hard st: NotStopd id: Stool Guaiac t0: [16:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd
id: Stool Out Stool t0: [14:00:00 20/02/2016] el: 1 cg: RN cu: CCU vu: ml es: Medium
id: Stool Out Total t0: [23:00:00 20/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0
id: Service Type t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Activity t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: NBP t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Position t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: In-Line Sx Change t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: calprevflg t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Packed RBC's t0: [18:00:00 20/02/2016] el: 2 ai: 255 cg: RN cu: CCU vo: 93 vu: ml uu: Units id: Tube Feeding t0: [18:00:00 20/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [18:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: .9% Normal Saline 1000.0ml t0: [18:30:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: Packed RBC's t0: [18:30:00 20/02/2016] el: 2 ai: 255 cg: RN cu: CCU vo: 46.5 vu: ml uu: Units id: Tube Feeding t0: [18:30:00 20/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 5 vu: ml
id: Trach Insert Date t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 7.1 n1: 7.1 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 257 n1: 257 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Trach Insert Date t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Service Type t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Airway Size t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: NBP t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 95 n2: 95 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 20/02/2016] 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: [21:00:00 20/02/2016] 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: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Color/Consist t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Trach Cuff/Fenestra t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: #7 st: NotStopd id: Tracheostomy Type t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Portex st: NotStopd id: Ventilator Type t0: [19:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: calprevflg t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 20/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 35 vu: ml id: Tube Feeding t0: [22:00:00 20/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 35 vu: ml id: Urine Out Foley t0: [22:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Temp. Site t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 36.7222 n1: 36.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [22:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 98.1 n1: 98.1 u1: Deg. F st: NotStopd
id: Trach Insert Date t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: Mean Airway Pressure t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: L/min st: NotStopd id: PEEP Set t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Ve High t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: 287 n1: 287 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [22:00:00 20/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Hematocrit t0: [21:45:00 20/02/2016] el: 0 cg: 1663 cu: CCU v1: 30.1 n1: 30.1 u1: % rs: Final st: NotStopd
id: Service Type t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [22:00:00 20/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml
pi: 4540698 hi: 10949 t0: [00:00:00 21/02/2016] tf: [00:00:00 21/02/2016] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 0 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4540711 hi: 10949 t0: [01:00:00 21/02/2016] tf: [00:00:00 22/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4540712 hi: 10949 t0: [01:00:00 21/02/2016] tf: [00:00:00 22/02/2016] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP Mean t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: BPM st: NotStopd id: Significant Events t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Resp Distress st: NotStopd id: SpO2 t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Trach Insert Date t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Airway Size t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Sputum Color/Consist t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Trach Cuff/Fenestra t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: #7 st: NotStopd id: Tracheostomy Type t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Portex st: NotStopd id: Ventilator Type t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd
id: Urine Out Foley t0: [20:00:00 20/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: .9% Normal Saline 1000.0ml t0: [00:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Packed RBC's t0: [00:00:00 21/02/2016] el: 2 ai: 255 cg: RN cu: CCU vo: 0 vu: ml uu: Units id: Urine Out Foley t0: [00:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Blood Products Total t0: [23:00:00 21/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: none re: 0
id: GI Prophylaxis t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Diet Type t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Right Nare st: NotStopd id: GI#1 Intub Site t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Right Nare st: NotStopd id: Eye Opening t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Follows Commands t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GCS Total t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Right Nare st: NotStopd id: GI Intub #1/Site t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Right Nare st: NotStopd id: GU Cath Insert Date t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Cath Insert Date t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: GU Catheter Size t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Abdominal Assessment t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LL Strength/Movement t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Insp Wheeze st: NotStopd id: LLL Lung Sounds t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Insp Wheeze st: NotStopd id: LUL Lung Sounds t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Motor Response t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Orientation t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: RL Strength/Movement t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RL Strength/Movement t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Insp Wheeze st: NotStopd id: RLL Lung Sounds t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Insp Wheeze st: NotStopd id: RUL Lung Sounds t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Respiratory Pattern t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Spontaneous Movement t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Urine Source t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: HOB t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Position t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: In-Line Sx Change t0: [20:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: In-Line Sx Change t0: [23:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd
id: Trach Insert Date t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 9.33333 n1: 9.33333 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 6.8 n1: 6.8 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thin st: NotStopd id: Sputum Source/Amt t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 304 n1: 304 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Stool Color/Consist t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Stool Guaiac t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd
id: Packed RBC's t0: [22:00:00 20/02/2016] el: 2 ai: 255 cg: RN cu: CCU vu: ml uu: Units
id: Tube Feeding t0: [00:00:00 21/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 35 vu: ml
id: Service Type t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [02:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [02:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [02:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP t0: [02:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: NBP Mean t0: [02:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [02:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 21/02/2016] 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: [02:00:00 21/02/2016] 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: [02:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:30:00 21/02/2016] 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 21/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [02:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [01:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [01:00:00 21/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 35 vu: ml id: Urine Out Foley t0: [01:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: Urine Out Foley t0: [02:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 220 vu: ml
id: D5W 100.0ml t0: [02:00:00 21/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: Tube Feeding t0: [02:00:00 21/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 35 vu: ml st: Stopped
id: Trach Insert Date t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 12.1739 n1: 12.1739 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: Mean Airway Pressure t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: L/min st: NotStopd id: PEEP Set t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 318 n1: 318 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: calprevflg t0: [03:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [03:00:00 21/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [03:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Service Type t0: [03:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [03:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [03:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: NBP Mean t0: [03:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: Precautions t0: [03:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Significant Events t0: [03:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Fluid Bolus st: NotStopd id: SpO2 t0: [03:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [03:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [03:30:00 21/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:30:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Ectopy Frequency t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rhythm t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: Significant Events t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Fluid Bolus st: NotStopd
pi: 4541087 hi: 10949 t0: [05:00:00 21/02/2016] tf: [04:00:00 22/02/2016] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 250 ml NS Bolus 250 ml Over 10 mins it: B dt: 1 di: Doses xu: Enter on Label pi: 4541088 hi: 10949 t0: [05:00:00 21/02/2016] tf: [04:00:00 22/02/2016] pt: IV Large Volume st: Expired rt: IV fr: ASDIR iv: 250 ml NS Bolus 250 ml Over 10 mins it: B dt: 1 di: Doses xu: Enter on Label
id: Service Type t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Precautions t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Trach Insert Date t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 14.7368 n1: 14.7368 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 133.333 n1: 133.333 u1: units st: NotStopd id: Cuff Leak t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: MDI #1 (Puff/Drug) t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 5.8 n1: 5.8 u1: L/min st: NotStopd id: PEEP Set t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: RSBI (<200) t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 133.333 n1: 133.333 u1: units st: NotStopd id: Resp Rate (Spont) t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spon RR (Mech.) t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 0.21 n1: 0.21 u1: L st: NotStopd id: Tidal Volume (Obser) t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 300 n1: 300 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [05:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: calprevflg t0: [05:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [06:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [05:00:00 21/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 35 vu: ml st: Restart id: Tube Feeding t0: [06:00:00 21/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 35 vu: ml id: Urine Out Foley t0: [05:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 220 vu: ml id: Urine Out Foley t0: [06:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 160 vu: ml
id: Diet Type t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Right Nare st: NotStopd id: Eye Opening t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Right Nare st: NotStopd id: GU Cath Insert Date t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: LL Strength/Movement t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: RL Strength/Movement t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Spontaneous Movement t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Urine Source t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: WBC (4-11,000) t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: WBC t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Hematocrit t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 33.6 n1: 33.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 11.5 n1: 11.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 554 n1: 554 rs: Final st: NotStopd id: RBC t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd
id: BUN t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Calcium t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.6 n1: 7.6 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 127 n1: 127 rs: Final st: NotStopd id: Magnesium t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.6 n1: 7.6 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 127 n1: 127 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.2 n1: 2.2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd
id: PT t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 13.1 n1: 13.1 rs: Final st: NotStopd id: INR t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 24.8 n1: 24.8 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 13.1 n1: 13.1 rs: Final st: NotStopd id: PTT(22-35) t0: [06:28:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 24.8 n1: 24.8 rs: Final st: NotStopd
pi: 4541376 hi: 10949 t0: [09:00:00 21/02/2016] tf: [16:00:00 21/02/2016] mn: Aspirin pt: Unit Dose st: Discontinued rt: PR fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [07:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Diet Type t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [07:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Right Nare st: NotStopd id: Health Care Proxy t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [07:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks v2: Right Nare st: NotStopd id: GU Cath Insert Date t0: [07:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Cath Insert Date t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [07:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: GU Catheter Size t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Heart Rate t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: LL Strength/Movement t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 171 n1: 171 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Oral Cavity t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Precautions t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 21/02/2016] 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 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: RU Strength/Movement t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: Respiratory Pattern t0: [07:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Respiratory Pattern t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Urine Color/Appear t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [07:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [08:00:00 21/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 70 vu: ml id: Urine Out Foley t0: [08:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Total Hourly Output t0: [23:00:00 21/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 21/02/2016] el: 2 cg: RN cu: CCU cv: 245 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 21/02/2016] el: 2 cg: RN cu: CCU cv: 1660 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 21/02/2016] el: 2 cg: RN cu: CCU cv: 1660 ac: 24 ap: none re: 0
id: Trach Insert Date t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 15.5556 n1: 15.5556 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 1:2.8 st: NotStopd id: Airway Size t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 u1: L/min st: NotStopd id: PEEP Set t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 288 n1: 288 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:30:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Levophed-k io: D5W 250.0ml + 8mcgkgmin Levophed-k el: 300 cg: RN cu: CCU am: 8 du: mcgkgmin rt: IV Drip
id: ImpSkin Wound Base#1 t0: [09:00:00 21/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
pi: 4541509 hi: 10949 t0: [10:00:00 21/02/2016] tf: [10:00:00 23/02/2016] mn: Norepinephrine pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: Less Restrict Meas. t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Pain Present t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2 Type/Site t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#2InsertDate t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: Activity t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: NBP t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Location t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 15 n2: 15 st: NotStopd id: INV#2 Dsg Change t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 15 n2: 15 st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 21/02/2016] 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 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Support Systems t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Cap Change t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [18:00:00 20/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: Temperature C (calc) t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Trach Care t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Turn t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: In-Line Sx Change t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: calprevflg t0: [09:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: INV Line#2 Type/Site t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 15 n2: 15 st: NotStopd id: Sputum Color/Consist t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: INV#2 Cap Change t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 14 n2: 14 st: NotStopd
id: Service Type t0: [09:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [09:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [09:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: NBP Mean t0: [09:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: Precautions t0: [09:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:20:00 21/02/2016] 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: [09:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [09:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [09:20:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:20:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 13.3333 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [09:20:00 21/02/2016] el: 3 ai: 416 cg: RN cu: CCU vo: 0 vu: ml nb: 1
id: Levophed-k t0: [09:20:00 21/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 21/02/2016] el: 2 cg: RN cu: CCU pv: 130 cv: 1358.65 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 21/02/2016] el: 2 cg: RN cu: CCU pv: 130 cv: 1693.65 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 21/02/2016] el: 2 cg: RN cu: CCU pv: 130 cv: 33.65 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 21/02/2016] el: 2 cg: RN cu: CCU pv: 130 cv: -1352.37 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 21/02/2016] el: 2 cg: RN cu: CCU pv: 130 cv: 130 ac: 1 ap: none re: 0
pi: 4541746 hi: 10949 t0: [11:00:00 21/02/2016] tf: [10:00:00 22/02/2016] mn: Cosyntropin pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: BSA t0: [10:30:00 21/02/2016] el: 1033 cg: -1 cu: CCU v1: 1.80574 n1: 1.80574 u1: m2 id: Admit Wt t0: [10:30:00 21/02/2016] el: 1032 cg: -1 cu: CCU v1: 77.3 n1: 77.3 u1: kg id: Allergy 1 t0: [10:30:00 21/02/2016] el: 1020 cg: -1 cu: CCU v1: Aspirin id: Diagnosis/op t0: [10:30:00 21/02/2016] el: 1023 cg: -1 cu: CCU v1: CORONARY ARTERY DISEASE id: Service t0: [10:30:00 21/02/2016] el: 1026 cg: -1 cu: CCU v1: CSU id: Admit Ht t0: [10:30:00 21/02/2016] el: 1034 cg: -1 cu: CCU v1: 53 n1: 53 u1: inches id: Readmission t0: [10:30:00 21/02/2016] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [10:30:00 21/02/2016] el: 1006 cg: -1 cu: CCU v1: M id: Religion t0: [10:30:00 21/02/2016] el: 1000 cg: -1 cu: CCU v1: U id: Allergy 2 t0: [10:30:00 21/02/2016] el: 1021 cg: -1 cu: CCU v1: Penicillins id: Ext t0: [10:30:00 21/02/2016] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [10:30:00 21/02/2016] el: 1022 cg: -1 cu: CCU
id: Service Type t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 21/02/2016] 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 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [10:00:00 21/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 0.05 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [10:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [10:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [10:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [10:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP t0: [10:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [10:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: NBP Mean t0: [10:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [10:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [10:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:15:00 21/02/2016] 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: [10:30:00 21/02/2016] 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: [10:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [10:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [10:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [10:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [10:15:00 21/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 0.05 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [10:30:00 21/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 0.05 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4541774 hi: 10949 t0: [12:00:00 21/02/2016] tf: [11:00:00 22/02/2016] mn: Fentanyl Citrate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4541775 hi: 10949 t0: [12:00:00 21/02/2016] tf: [11:00:00 22/02/2016] mn: Midazolam pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4541776 hi: 10949 t0: [12:00:00 21/02/2016] tf: [11:00:00 22/02/2016] mn: Midazolam pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Trach Insert Date t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 18.6667 n1: 18.6667 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: High Insp. Pressure t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 37.4 n1: 37.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 6.4 n1: 6.4 u1: L/min st: NotStopd id: PEEP Set t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 300 n1: 300 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:35:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI Intub #1/Site t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: Heart Rate t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [12:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 159 n1: 159 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP t0: [12:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: NBP Mean t0: [12:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [12:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:30:00 21/02/2016] 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: [13:00:00 21/02/2016] 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 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [12:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 36.6667 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [13:00:00 21/02/2016] el: 3 ai: 416 cg: RN cu: CCU vo: 31.4031 vu: ml id: Urine Out Foley t0: [10:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [13:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Levophed-k t0: [11:00:00 21/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 0.05 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [12:00:00 21/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 0.05 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [12:30:00 21/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 0.05 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [13:00:00 21/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 0.05 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 156 n1: 156 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 21/02/2016] 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 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [14:00:00 21/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [08:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temp. Site t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd
id: FiO2 Set t0: [14:55:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd
pi: 4542566 hi: 10949 t0: [22:00:00 21/02/2016] tf: [13:00:00 28/02/2016] mn: Heparin pt: Unit Dose st: Discontinued rt: SC fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Less Restrict Meas. t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Less Restrict Meas. t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Less Restrict Meas. t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Pain Present t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Pain Present t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Range of Motion t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: Family Communication t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: GCS Total t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GCS Total t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LL Strength/Movement t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LU Strength/Movement t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Level of Conscious t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Motor Response t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 160 n1: 160 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Bleeding Gum st: NotStopd id: Orientation t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Orientation t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Location t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Assistance Device t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 21/02/2016] 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 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RL Strength/Movement t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Spontaneous Movement t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Nonpurposeful st: NotStopd id: Support Systems t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: Verbal Response t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [14:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [16:00:00 21/02/2016] el: 3 ai: 416 cg: RN cu: CCU vo: 7.24688 vu: ml id: Urine Out Foley t0: [16:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 160 vu: ml
id: Levophed-k t0: [15:00:00 21/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [16:00:00 21/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Sputum Color/Consist t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Color/Consist t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [15:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd
id: Trach Insert Date t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 13.3333 n1: 13.3333 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 5.6 n1: 5.6 u1: L/min st: NotStopd id: PEEP Set t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 281 n1: 281 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:38:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
pi: 4542631 hi: 10949 t0: [18:00:00 21/02/2016] tf: [17:00:00 21/02/2016] mn: Epinephrine 1:1000 pt: Unit Dose st: Discontinued rt: SC fr: ONCE MR1 ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4542632 hi: 10949 t0: [18:00:00 21/02/2016] tf: [18:00:00 24/02/2016] mn: DiphenhydrAMINE HCl pt: Unit Dose st: Discontinued rt: IV fr: ONCE:PRN di: Ongoing xv: 36 xu: Hours pi: 4542633 hi: 10949 t0: [18:00:00 21/02/2016] tf: [18:00:00 24/02/2016] mn: Hydrocortisone Na Succ. pt: Unit Dose st: Discontinued rt: IV fr: ONCE:PRN di: Ongoing xv: 36 xu: Hours pi: 4542666 hi: 10949 t0: [18:00:00 21/02/2016] tf: [17:00:00 22/02/2016] mn: Meropenem pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4542667 hi: 10949 t0: [18:00:00 21/02/2016] tf: [17:00:00 22/02/2016] mn: Meropenem Desensitization pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4542668 hi: 10949 t0: [18:00:00 21/02/2016] tf: [17:00:00 22/02/2016] mn: Meropenem Desensitization pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4542669 hi: 10949 t0: [18:00:00 21/02/2016] tf: [17:00:00 22/02/2016] mn: Meropenem Desensitization pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4542670 hi: 10949 t0: [18:00:00 21/02/2016] tf: [17:00:00 22/02/2016] mn: Meropenem Desensitization pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4542671 hi: 10949 t0: [18:00:00 21/02/2016] tf: [17:00:00 22/02/2016] mn: Meropenem Desensitization pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xu: Enter on Label pi: 4542672 hi: 10949 t0: [18:00:00 21/02/2016] tf: [17:00:00 22/02/2016] mn: Meropenem Desensitization pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xu: Enter on Label
pi: 4542769 hi: 10949 t0: [19:00:00 21/02/2016] tf: [14:00:00 29/02/2016] mn: Meropenem pt: IV Piggyback st: Inactive (Due to a change order) rt: IV fr: Q8H ds: 4, 12, 20 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [17:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [18:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [18:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [17:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 162 n1: 162 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 181 n1: 181 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP t0: [18:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 164 n1: 164 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [17:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: NBP Mean t0: [18:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [17:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [18:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:30:00 21/02/2016] 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: [18:00:00 21/02/2016] 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: [18:30:00 21/02/2016] 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: [17:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [17:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [18:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [17:00:00 21/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 90 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [18:00:00 21/02/2016] el: 3 ai: 416 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [18:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Levophed-k t0: [17:30:00 21/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [18:00:00 21/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [18:30:00 21/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 21/02/2016] el: 2 cg: RN cu: CCU cv: 90 ac: 24 ap: none re: 0
id: Service Type t0: [09:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [09:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [09:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [09:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [09:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [09:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [09:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [09:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg v2: 25 n2: 25 u2: mmHg st: NotStopd id: NBP t0: [09:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: NBP Mean t0: [09:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: NBP Mean t0: [09:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 47 n1: 47 u1: mmHg st: NotStopd id: Precautions t0: [09:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [09:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:30:00 21/02/2016] 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: [09:45:00 21/02/2016] 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: [09:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [09:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [09:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [09:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:45:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [09:30:00 21/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [09:45:00 21/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4543022 hi: 10949 t0: [20:00:00 21/02/2016] tf: [18:00:00 24/02/2016] mn: traZODONE HCl pt: Unit Dose st: Discontinued rt: PO fr: HS:PRN di: Ongoing xv: 36 xu: Hours
id: ALT t0: [15:15:00 21/02/2016] el: 0 cg: 1663 cu: CCU v1: 54 n1: 54 rs: Final st: NotStopd
id: Trach Insert Date t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 11.6667 n1: 11.6667 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 5.9 n1: 5.9 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2400 n1: 2400 st: NotStopd id: Tank B psi. t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 267 n1: 267 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Trach Insert Date t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 12.1739 n1: 12.1739 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: Mean Airway Pressure t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 5.1 n1: 5.1 u1: L/min st: NotStopd id: PEEP Set t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 269 n1: 269 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [22:00:00 21/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [22:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 165 n1: 165 u1: mmHg v2: 91 n2: 91 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 168 n1: 168 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP t0: [22:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: NBP Mean t0: [22:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [22:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 21/02/2016] 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: [21:00:00 21/02/2016] 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: [22:00:00 21/02/2016] 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: [22:15:00 21/02/2016] 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 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [22:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:15:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [22:15:00 21/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: BSA t0: [22:36:00 21/02/2016] el: 1033 cg: -1 cu: CCU v1: 1.80574 n1: 1.80574 u1: m2 id: Admit Wt t0: [22:36:00 21/02/2016] el: 1032 cg: -1 cu: CCU v1: 77.3 n1: 77.3 u1: kg id: Allergy 1 t0: [22:36:00 21/02/2016] el: 1020 cg: -1 cu: CCU v1: Aspirin id: Diagnosis/op t0: [22:36:00 21/02/2016] el: 1023 cg: -1 cu: CCU v1: CORONARY ARTERY DISEASE id: Service t0: [22:36:00 21/02/2016] el: 1026 cg: -1 cu: CCU v1: CSU id: Admit Ht t0: [22:36:00 21/02/2016] el: 1034 cg: -1 cu: CCU v1: 53 n1: 53 u1: inches id: Readmission t0: [22:36:00 21/02/2016] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [22:36:00 21/02/2016] el: 1006 cg: -1 cu: CCU v1: M id: Religion t0: [22:36:00 21/02/2016] el: 1000 cg: -1 cu: CCU v1: U id: Allergy 2 t0: [22:36:00 21/02/2016] el: 1021 cg: -1 cu: CCU v1: Penicillins id: Ext t0: [22:36:00 21/02/2016] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [22:36:00 21/02/2016] el: 1022 cg: -1 cu: CCU
id: D5W 100.0ml t0: [20:00:00 21/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [20:00:00 21/02/2016] el: 3 ai: 416 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [20:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Service Type t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 152 n1: 152 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: NBP Mean t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 21/02/2016] 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: [23:30:00 21/02/2016] 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: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: calprevflg t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:30:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [23:00:00 21/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [23:30:00 21/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:30:00 21/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [23:00:00 21/02/2016] el: 3 ai: 416 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [22:00:00 21/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Diet Type t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Eye Opening t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GU Cath Insert Date t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: LL Strength/Movement t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: RL Strength/Movement t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Source t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: Trach Insert Date t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Airway Size t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Sputum Color/Consist t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Color/Consist t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Trach Cuff/Fenestra t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: #7 st: NotStopd id: Tracheostomy Type t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Portex st: NotStopd id: Ventilator Type t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd
pi: 4543440 hi: 10949 t0: [01:00:00 22/02/2016] tf: [00:00:00 23/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 1 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Trach Insert Date t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 12.1739 n1: 12.1739 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 5.7 n1: 5.7 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 274 n1: 274 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 22/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: calprevflg t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [00:00:00 22/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [00:30:00 22/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [01:00:00 22/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [01:30:00 22/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 15 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:30:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml
id: Trach Insert Date t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 12.1739 n1: 12.1739 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: Mean Airway Pressure t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 5.4 n1: 5.4 u1: L/min st: NotStopd id: PEEP Set t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 259 n1: 259 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: Precautions t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 22/02/2016] 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: [02:00:00 22/02/2016] 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: [03:00:00 22/02/2016] 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: [04:00:00 22/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 22/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Trach Insert Date t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Trach Insert Date t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Airway Size t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 7.0 mm st: NotStopd id: Airway Size t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Tracheostomy st: NotStopd id: Airway Type t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Intubation Date t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Sputum Color/Consist t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Color/Consist t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Color/Consist t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Sputum Source/Amt t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Trach Cuff/Fenestra t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes v2: No st: NotStopd id: Trach Cuff/Fenestra t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: #7 st: NotStopd id: Trach Size t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: #7 st: NotStopd id: Tracheostomy Type t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Portex st: NotStopd id: Tracheostomy Type t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Portex st: NotStopd id: Ventilator Type t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: Ventilator Type t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [00:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [02:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 300 vu: ml id: Urine Out Foley t0: [04:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: D5W 100.0ml t0: [02:00:00 22/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [02:30:00 22/02/2016] el: 1 ai: 105 cg: RN cu: CCU vu: ml
id: Diet Type t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Eye Opening t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GU Cath Insert Date t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: LL Strength/Movement t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: RL Strength/Movement t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Source t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [01:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: Diet Type t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: GI#1 Intub Site t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Eye Opening t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: GCS Total t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GU Cath Insert Date t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: LL Strength/Movement t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Motor Response t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Orientation t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: RL Strength/Movement t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Source t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: HOB t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: In-Line Sx Change t0: [00:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: In-Line Sx Change t0: [03:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: In-Line Sx Change t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: Back Care t0: [21:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Trach Insert Date t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 109.091 n1: 109.091 u1: units st: NotStopd id: Cuff Leak t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: MDI #1 (Puff/Drug) t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 6.3 n1: 6.3 u1: L/min st: NotStopd id: PEEP Set t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: RSBI (<200) t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 109.091 n1: 109.091 u1: units st: NotStopd id: Resp Rate (Spont) t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spon RR (Mech.) t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 0.22 n1: 0.22 u1: L st: NotStopd id: Sputum Color/Consist t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 279 n1: 279 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [05:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Universal st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 22/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: calprevflg t0: [05:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [05:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 160 vu: ml
id: D5W 100.0ml t0: [03:00:00 22/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml
id: INV Line#2 Type/Site t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2 Type/Site t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#2InsertDate t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: INV#2 Dsg Change t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: INV#2 Cap Change t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [23:00:00 21/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd
id: WBC (4-11,000) t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.8 n1: 14.8 rs: Final st: NotStopd id: WBC t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.8 n1: 14.8 rs: Final st: NotStopd id: Hematocrit t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 10.7 n1: 10.7 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 542 n1: 542 rs: Final st: NotStopd id: RBC t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.51 n1: 3.51 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.8 n1: 14.8 rs: Final st: NotStopd
id: GI#1 Tube PlaceCheck t0: [08:00:00 22/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Pain Present t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 22/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Heart Rate t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: Abdominal Assessment t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 166 n1: 166 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Precautions t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 22/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Skin Care t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Integrity t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Tube Feeding t0: [08:00:00 22/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 35 vu: ml id: Urine Out Foley t0: [08:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: BUN t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Calcium t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 84 n1: 84 rs: Final st: NotStopd id: Magnesium t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Sodium t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd id: BUN (6-20) t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.5 n1: 7.5 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 84 n1: 84 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [06:41:00 22/02/2016] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd
id: FiO2 Set t0: [08:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [08:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 6.7 n1: 6.7 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [08:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 215 n1: 215 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 22/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 22/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 90 vu: ml id: Tube Feeding t0: [09:00:00 22/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 35 vu: ml
id: PO/Gastric In Total t0: [23:00:00 22/02/2016] el: 2 cg: RN cu: CCU cv: 150 ac: 24 ap: none re: 0
id: HOB t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Assistance Device t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd
id: OR Crystalloid t0: [09:00:00 22/02/2016] el: 2 ai: 124 cg: -1 cu: CCU vo: 0 st: D/C'd
pi: 4544022 hi: 10949 t0: [10:00:00 22/02/2016] tf: [09:00:00 23/02/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4544023 hi: 10949 t0: [10:00:00 22/02/2016] tf: [09:00:00 23/02/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4544024 hi: 10949 t0: [10:00:00 22/02/2016] tf: [09:00:00 23/02/2016] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 10 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 22/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [10:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [10:00:00 22/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 35 vu: ml
id: Service Type t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 22/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [11:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [11:00:00 22/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [11:00:00 22/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 35 vu: ml
id: Service Type t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 22/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: Abdominal Assessment t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Activity t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Level of Conscious t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 181 n1: 181 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Assistance Device t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 22/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Skin Care t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: INV#2 Cap Change t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: Therapeutic Bed t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [12:00:00 22/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 35 vu: ml id: Urine Out Foley t0: [12:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 280 vu: ml
id: IV Infusion In Total t0: [23:00:00 22/02/2016] el: 2 cg: RN cu: CCU pv: 10 cv: 1390 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 22/02/2016] el: 2 cg: RN cu: CCU pv: 55 cv: 2200 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 22/02/2016] el: 2 cg: RN cu: CCU pv: 29 cv: 29 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 22/02/2016] el: 2 cg: RN cu: CCU pv: 45 cv: 660 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 22/02/2016] el: 2 cg: RN cu: CCU pv: 29 cv: 2326 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 22/02/2016] el: 2 cg: RN cu: CCU pv: 26 cv: -126 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 22/02/2016] el: 2 cg: RN cu: CCU pv: 26 cv: -1478.37 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 22/02/2016] el: 2 cg: RN cu: CCU pv: 26 cv: 26 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 22/02/2016] el: 2 cg: RN cu: CCU pv: 29 cv: 2326 ac: 24 ap: none re: 0
id: FiO2 Set t0: [12:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [12:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 244 n1: 244 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: LL Strength/Movement t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: NBP t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 157 n1: 157 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 22/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: SpO2 t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: calprevflg t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [13:00:00 22/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 35 vu: ml id: Urine Out Foley t0: [13:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 250 vu: ml
id: FiO2 Set t0: [13:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [13:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [13:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [13:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: PEEP Set t0: [13:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [13:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [13:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [13:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tidal Volume (Set) t0: [13:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Ventilator Mode t0: [13:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [13:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [13:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [13:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 178 n1: 178 u1: mmHg v2: 109 n2: 109 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [13:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [13:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:30:00 22/02/2016] 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: [14:00:00 22/02/2016] 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: [13:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Pattern t0: [13:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Respiratory Rate t0: [13:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [13:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [13:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4544849 hi: 10949 t0: [16:00:00 22/02/2016] tf: [18:00:00 22/02/2016] mn: Clonazepam pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: Q8H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 22/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [14:00:00 22/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [14:00:00 22/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [15:00:00 22/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml
id: NBP t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 165 n1: 165 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd
id: Compliance (40-60ml) t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 12.7273 n1: 12.7273 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 1:2.8 st: NotStopd id: Airway Size t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 5.6 n1: 5.6 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 289 n1: 289 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: GCS Total t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: Abdominal Assessment t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Activity t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LL Strength/Movement t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 158 n1: 158 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Oral Care t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Assistance Device t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 22/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Skin Care t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Spontaneous Movement t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: Temp. Site t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
pi: 4545206 hi: 10949 t0: [18:00:00 22/02/2016] tf: [18:00:00 22/02/2016] mn: Furosemide pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: .9% Normal Saline 1000.0ml t0: [16:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [16:00:00 22/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [16:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 250 vu: ml
pi: 4545300 hi: 10949 t0: [19:00:00 22/02/2016] tf: [18:00:00 24/02/2016] mn: Clonazepam pt: Unit Dose st: Discontinued rt: PO fr: Q8H:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [18:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [18:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 176 n1: 176 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: NBP t0: [18:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: NBP t0: [18:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: NBP Mean t0: [18:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: NBP Mean t0: [18:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 22/02/2016] 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: [18:00:00 22/02/2016] 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: [18:05:00 22/02/2016] 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: [18:15:00 22/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [18:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [18:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [17:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:15:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: HOB t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Activity t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Assistance Device t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [18:00:00 22/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [18:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: D5W 100.0ml t0: [13:00:00 22/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: Gastric Meds t0: [10:00:00 22/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 60 vu: ml
id: Compliance (40-60ml) t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 12.7273 n1: 12.7273 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 7.3 n1: 7.3 u1: L/min st: NotStopd id: PEEP Set t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Ventilator Mode t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:00:00 22/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 22/02/2016] 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 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: calprevflg t0: [19:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Precautions t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: INV Line#2 Type/Site t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd
id: D5W 100.0ml t0: [20:00:00 22/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [20:00:00 22/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [20:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 125 vu: ml
id: Pain Present t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: NBP t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 173 n1: 173 u1: mmHg v2: 91 n2: 91 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg st: NotStopd id: Pain Cause t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: Eye Opening t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: LL Strength/Movement t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: Level of Conscious t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: RU Strength/Movement t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: Spontaneous Movement t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Verbal Response t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
pi: 4545583 hi: 10949 t0: [21:00:00 22/02/2016] tf: [20:00:00 23/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 21 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: GI Prophylaxis t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI Intub #1/Site t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GU Cath Insert Date t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Abdominal Assessment t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLE Temp/Color t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUE Temp/Color t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: Oral Cavity t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Diff to Palpate st: NotStopd id: Pupil Response R/L t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 4 mm v2: 4 mm st: NotStopd id: RLE Temp/Color t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: Respiratory Pattern t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Stool Guaiac t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Bowel Sounds t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Language Barrier st: NotStopd id: Education Handout t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Response t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Oral Care t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Support Systems t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Braden Activity t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Service Type t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [21:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [21:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP Mean t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: NBP Mean t0: [21:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [21:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [21:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Less Restrict Meas. t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Pain Present t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Circulation/SkinInt t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Level of Conscious t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Pain Cause t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Location t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position Change t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [21:00:00 22/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [21:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: HOB t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Activity t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Assistance Device t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Sputum Color/Consist t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Therapeutic Bed t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Service Type t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 92 n2: 92 u2: mmHg st: NotStopd id: NBP Mean t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Precautions t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:30:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: NBP t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [22:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [22:00:00 22/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [22:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 32 vu: ml
id: Service Type t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [23:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [23:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: NBP Mean t0: [23:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:05:00 22/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 22/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [23:00:00 22/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [23:00:00 22/02/2016] el: 1 cg: RN cu: CCU vo: 29 vu: ml
id: Level of Conscious t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd
id: Pain Present t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 189 n1: 189 u1: mmHg v2: 97 n2: 97 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg st: NotStopd id: Pain Cause t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Location t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Temp. Site t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [00:00:00 23/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [00:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 55 vu: ml
id: GI Prophylaxis t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Eye Opening t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Abdominal Assessment t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LU Strength/Movement t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RL Strength/Movement t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RU Strength/Movement t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: HOB t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Activity t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Position Change t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Pt./Family Informed t0: [23:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd
id: INV Line#2 Type/Site t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Oral Care t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#2 Dsg Change t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: INV#2 Cap Change t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd
id: Trach Insert Date t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 14.7368 n1: 14.7368 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: MDI #1 (Puff/Drug) t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 5.2 n1: 5.2 u1: L/min st: NotStopd id: PEEP Set t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 270 n1: 270 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [01:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 150 n1: 150 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 23/02/2016] 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 23/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: calprevflg t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 163 n1: 163 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: Pain Cause t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Level of Conscious t0: [01:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Position Change t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd
id: D5W 100.0ml t0: [02:00:00 23/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [02:00:00 23/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 30 vu: ml id: GT Flush t0: [02:00:00 23/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 30 vu: ml id: Tube Feeding t0: [01:00:00 23/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [02:00:00 23/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [01:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [02:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Service Type t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 158 n1: 158 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Temp. Site t0: [03:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [03:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [03:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd
id: Trach Insert Date t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 14.7368 n1: 14.7368 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 0.6 n1: 0.6 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 4.9 n1: 4.9 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 260 n1: 260 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: WBC (4-11,000) t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.1 n1: 14.1 rs: Final st: NotStopd id: WBC t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.1 n1: 14.1 rs: Final st: NotStopd id: Hematocrit t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 32.2 n1: 32.2 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 11.3 n1: 11.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 534 n1: 534 rs: Final st: NotStopd id: RBC t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.63 n1: 3.63 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.1 n1: 14.1 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 194 n1: 194 u1: mmHg v2: 96 n2: 96 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg st: NotStopd id: Pain Cause t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Location t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Sputum Color/Consist t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: calprevflg t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [03:00:00 23/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [04:00:00 23/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [03:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 70 vu: ml id: Urine Out Foley t0: [04:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 70 vu: ml
id: GI Prophylaxis t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Eye Opening t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Abdominal Assessment t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [03:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Pupil Response R/L t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 mm v2: 4 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Gastric Meds t0: [04:00:00 23/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 30 vu: ml id: GT Flush t0: [04:00:00 23/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 30 vu: ml
id: PO/Gastric In Total t0: [23:00:00 23/02/2016] el: 2 cg: RN cu: CCU cv: 500 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Less Restrict Meas. t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #1 t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: HOB t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Activity t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Oral Care t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [00:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [21:00:00 22/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Restraints Evaluated t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Support Systems t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [02:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Pt./Family Informed t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd
id: INV Line#2 Type/Site t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#2 Dsg Change t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: INV#2 Cap Change t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [04:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd
id: BUN t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Calcium t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 125 n1: 125 rs: Final st: NotStopd id: Magnesium t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 22 n1: 22 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 125 n1: 125 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.8 n1: 1.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:23:00 23/02/2016] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd
id: Service Type t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 154 n1: 154 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: MDI #1 (Puff/Drug) t0: [05:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [05:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd
pi: 4546350 hi: 10949 t0: [07:00:00 23/02/2016] tf: [06:00:00 24/02/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4546351 hi: 10949 t0: [07:00:00 23/02/2016] tf: [06:00:00 24/02/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Alarms t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Riker-SAS Scale t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Pain Location t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: Education Topic #1 t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Level of Conscious t0: [05:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Level of Conscious t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Side Rails t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [06:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [05:00:00 23/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [06:00:00 23/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [05:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [06:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Trach Insert Date t0: [07:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: RSBI (<100) t0: [07:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 122.727 n1: 122.727 u1: units st: NotStopd id: Airway Size t0: [07:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [07:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [07:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Pressure Support t0: [07:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: RSBI (<200) t0: [07:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 122.727 n1: 122.727 u1: units st: NotStopd id: SpO2 t0: [07:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spon RR (Mech.) t0: [07:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [07:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 0.22 n1: 0.22 u1: L st: NotStopd id: Trach Cuff/Fenestra t0: [07:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [07:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Type t0: [07:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [07:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [07:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 181 n1: 181 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: calprevflg t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: FiO2 Set t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 6.8 n1: 6.8 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thin st: NotStopd id: Sputum Source/Amt t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 235 n1: 235 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Pain Present t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 23/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: Follows Commands t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#2 Type/Site t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Activity t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: LLE Temp/Color t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [07:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 179 n1: 179 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Oral Care t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#2 Dsg Change t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Type t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: BehaviorSubsided st: NotStopd id: Side Rails t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Color t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#2 Cap Change t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: Therapeutic Bed t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [07:00:00 23/02/2016] el: 1 ai: -1 cg: RN cu: CCU vu: ml st: Stopped id: Urine Out Foley t0: [07:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [08:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: IV Infusion In Total t0: [23:00:00 23/02/2016] el: 2 cg: RN cu: CCU pv: 10 cv: 540 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 23/02/2016] el: 2 cg: RN cu: CCU pv: 55 cv: 1760 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 23/02/2016] el: 2 cg: RN cu: CCU pv: 60 cv: 60 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 23/02/2016] el: 2 cg: RN cu: CCU pv: 45 cv: 720 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 23/02/2016] el: 2 cg: RN cu: CCU pv: 60 cv: 1417 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 23/02/2016] el: 2 cg: RN cu: CCU pv: -5 cv: 343 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 23/02/2016] el: 2 cg: RN cu: CCU pv: -5 cv: -1135.37 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 23/02/2016] el: 2 cg: RN cu: CCU pv: -5 cv: -5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 23/02/2016] el: 2 cg: RN cu: CCU pv: 60 cv: 1417 ac: 24 ap: none re: 0
id: Temp. Site t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd
pi: 4546928 hi: 10949 t0: [11:00:00 23/02/2016] tf: [10:00:00 24/02/2016] mn: Neutra-Phos pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pressure Support t0: [10:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd
id: Pressure Support t0: [11:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd
id: Compliance (40-60ml) t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 11.2 n1: 11.2 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 1:2.8 st: NotStopd id: Airway Size t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 6.13 n1: 6.13 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 300 n1: 300 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 155 n1: 155 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 155 n1: 155 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 161 n1: 161 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [09:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [10:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [12:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 70 vu: ml
id: Service Type t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 155 n1: 155 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: GI Prophylaxis t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Eye Opening t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Follows Commands t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GU Cath Insert Date t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Abdominal Assessment t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Rhonchi st: NotStopd id: Level of Conscious t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pupil Response R/L t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RLE Temp/Color t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Respiratory Pattern t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Urine Color/Appear t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Less Restrict Meas. t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Less Restrict Meas. t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Range of Motion t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Topic #1 t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: HOB t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Right Brachial st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 2 n2: 2 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 18 n2: 18 st: NotStopd id: Reason For Restraint t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Location t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Location t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Type t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: BehaviorSubsided st: NotStopd id: Restraints Evaluated t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Color t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: INV#2 Cap Change t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: Therapeutic Bed t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: HOB Measurement t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: Back Care t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [10:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
pi: 4548112 hi: 10949 t0: [16:00:00 23/02/2016] tf: [20:00:00 07/03/2016] 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: FiO2 Set t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 7.8 n1: 7.8 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Ventilator Type t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Urine Out Foley t0: [09:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 42 vu: ml id: Urine Out Foley t0: [11:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [13:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [14:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [15:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Cuff Pressure-Airway t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd
id: Alarms t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Previous Weight t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: BSA - English t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1.11512 n1: 1.11512 u1: m2 st: NotStopd id: BSA - Metric t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1.30338 n1: 1.30338 u1: m2 st: NotStopd id: Weight Change t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: kg st: NotStopd id: Daily Weight t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd
id: Tidal Volume (Obser) t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU u1: ml/B st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 300 n1: 300 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd
id: Temp. Site t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd
id: Pain Present t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 23/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 23/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 160 n1: 160 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 179 n1: 179 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Pain Location t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Location t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Pain Type t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: calprevflg t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [14:00:00 23/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [15:00:00 23/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [16:00:00 23/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [17:00:00 23/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [16:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [17:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: GT Flush t0: [08:00:00 23/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 100 vu: ml id: GT Flush t0: [12:00:00 23/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 200 vu: ml
id: GI Prophylaxis t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Eye Opening t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Abdominal Assessment t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pupil Response R/L t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RL Strength/Movement t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Range of Motion t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Commun Barrier st: NotStopd id: Education Handout t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Topic #1 t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Medications st: NotStopd id: Family Communication t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: Position Change t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Type t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: BehaviorSubsided st: NotStopd id: Side Rails t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Support Systems t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: INV#2Chg o/Wire Date t0: [18:00:00 23/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 D/C Date t0: [18:00:00 23/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Site Date t0: [18:00:00 23/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2 Type/Site t0: [18:00:00 23/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2InsertDate t0: [18:00:00 23/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV Line#2SiteAppear t0: [18:00:00 23/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Dsg Change t0: [18:00:00 23/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Cap Change t0: [18:00:00 23/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#2 Tubing Change t0: [18:00:00 23/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: HOB t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#2 D/C Date t0: [12:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3 Type/Site t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#3 Dsg Change t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Skin Care t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#3 Cap Change t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Tubing Change t0: [14:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Therapeutic Bed t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: HOB Measurement t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: Back Care t0: [15:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Service Type t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 163 n1: 163 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [18:00:00 23/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml
pi: 4549018 hi: 10949 t0: [20:00:00 23/02/2016] tf: [18:00:00 24/02/2016] mn: Haloperidol pt: Unit Dose st: Discontinued rt: IV fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 165 n1: 165 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Previous WeightF t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [19:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Trach Insert Date t0: [19:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 10.3704 n1: 10.3704 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [19:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 5.33 n1: 5.33 u1: L/min st: NotStopd id: PEEP Set t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Pressure Support t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 314 n1: 314 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [19:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [19:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [19:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [19:00:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:40:00 23/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [19:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [19:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [19:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [19:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [19:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [19:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [19:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [19:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [19:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [19:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rate t0: [19:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rate t0: [19:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [19:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [19:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP Mean t0: [19:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg st: NotStopd id: Precautions t0: [19:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [19:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [19:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous Weight t0: [19:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous Weight t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 180 n2: 180 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 40 n2: 40 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [19:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [19:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [19:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: SpO2 t0: [19:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [19:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [19:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: calprevflg t0: [19:15:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Riker-SAS Scale t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: NBP t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 152 n1: 152 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Pain Cause t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Respiratory Rate t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd
id: Sputum Color/Consist t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd
id: D5W 100.0ml t0: [20:00:00 23/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [19:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [19:00:00 23/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [20:00:00 23/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [19:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 285 vu: ml id: Urine Out Foley t0: [20:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: GI Prophylaxis t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Education Topic #1 t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Abdominal Assessment t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: Pupil Response R/L t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: INV Line#3 Type/Site t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd
id: Service Type t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: NBP t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 186 n1: 186 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Position t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Skin Care t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [21:00:00 23/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml
id: Service Type t0: [21:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:55:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:55:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:55:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:55:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:55:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [21:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:55:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [21:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [21:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [21:55:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:55:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [21:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP t0: [21:55:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 142 n1: 142 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [21:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: NBP Mean t0: [21:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: NBP Mean t0: [21:55:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [21:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [21:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [21:55:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous Weight t0: [21:55:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:55:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:55:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:55:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [21:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [21:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [21:55:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:55:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:55:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: SpO2 t0: [21:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [21:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [21:55:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [21:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:50:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:55:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 142 n1: 142 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Pain Cause t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Location t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Level of Conscious t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Level of Conscious t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Sputum Color/Consist t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: None st: NotStopd id: Sputum Source/Amt t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Expectorated v2: Small st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [22:00:00 23/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 50 vu: ml id: GT Flush t0: [22:00:00 23/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 30 vu: ml id: Tube Feeding t0: [22:00:00 23/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [21:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [22:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: HOB t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Position t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd
id: Service Type t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 23/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [23:00:00 23/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [23:00:00 23/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
pi: 4549696 hi: 10949 t0: [01:00:00 24/02/2016] tf: [13:00:00 25/02/2016] mn: Norepinephrine pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: Service Type t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [00:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [00:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [00:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [00:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [00:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [00:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [00:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [00:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [00:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [23:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [00:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [00:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [00:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [23:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: mmHg st: NotStopd id: NBP Mean t0: [00:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: NBP Mean t0: [00:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: NBP Mean t0: [23:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [00:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [00:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous Weight t0: [00:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [00:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [00:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [23:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [00:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [00:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [23:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:10:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:45:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Pain Cause t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: GI Prophylaxis t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Eye Opening t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Abdominal Assessment t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Level of Conscious t0: [23:00:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Motor Response t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: RL Strength/Movement t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: HOB t0: [23:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity t0: [23:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [23:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Therapeutic Bed t0: [23:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd
id: Trach Insert Date t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 11.2 n1: 11.2 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: Cuff Pressure-Airway t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: FiO2 Set t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 4.6 n1: 4.6 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 287 n1: 287 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [00:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [00:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [00:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: NBP Mean t0: [00:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: Precautions t0: [00:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [00:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [00:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [00:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k io: D5W 250.0ml + 8mcgkgmin Levophed-k el: 400 cg: RN cu: CCU am: 8 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 8mcgkgmin Levophed-k el: 4 cg: RN cu: CCU ra: 4.34812 ru: ml/hr
id: Service Type t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP Mean t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 24/02/2016] 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 24/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [01:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [01:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [01:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [01:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [01:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP Mean t0: [01:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: NBP Mean t0: [01:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Precautions t0: [01:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [01:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [01:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [01:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [01:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [01:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [01:00:00 24/02/2016] el: 4 cg: RN cu: CCU vo: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [01:15:00 24/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.03 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [01:30:00 24/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.08 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Pain Location t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [00:00:00 24/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [01:00:00 24/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [02:00:00 24/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [00:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [01:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [02:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 25 vu: ml
id: Levophed-k t0: [02:00:00 24/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.06 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Dorsal PedPulse R/L t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: LLE Temp/Color t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUE Temp/Color t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [01:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Level of Conscious t0: [02:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Dozing Intermit st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Weak Palpable st: NotStopd id: RLE Temp/Color t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUE Temp/Color t0: [00:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd
id: Service Type t0: [02:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [02:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [02:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [02:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP Mean t0: [02:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: Precautions t0: [02:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [02:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [02:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [02:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [02:45:00 24/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.07 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 100.0ml t0: [02:00:00 24/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml
id: Service Type t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [03:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP t0: [03:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: NBP Mean t0: [03:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [03:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous Weight t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [03:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [03:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [03:00:00 24/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.07 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [03:45:00 24/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.07 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [04:00:00 24/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.07 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Level of Conscious t0: [03:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Level of Conscious t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Pain Location t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Cap Change t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [03:00:00 24/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [04:00:00 24/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [03:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [04:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Trach Insert Date t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 10.7692 n1: 10.7692 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 89.6861 n1: 89.6861 u1: units st: NotStopd id: Cuff Leak t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 5.47 n1: 5.47 u1: L/min st: NotStopd id: PEEP Set t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Pressure Support t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: RSBI (<200) t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 89.6861 n1: 89.6861 u1: units st: NotStopd id: Resp Rate (Spont) t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Tank A psi. t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spon RR (Mech.) t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0.223 n1: 0.223 u1: L st: NotStopd id: Sputum Color/Consist t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 228 n1: 228 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:40:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Alarms t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [05:00:00 24/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.07 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [05:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [05:00:00 24/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [05:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 27 vu: ml
id: GI Prophylaxis t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Education Topic #1 t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Abdominal Assessment t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Pupil Response R/L t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 mm v2: 4 mm st: NotStopd id: RL Strength/Movement t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Side Rails t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Urine Color/Appear t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: HOB t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [23:30:00 23/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Back Care t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: WBC (4-11,000) t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: WBC t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.7 n1: 15.7 rs: Final st: NotStopd id: Hematocrit t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 33.1 n1: 33.1 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 11.3 n1: 11.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 611 n1: 611 rs: Final st: NotStopd id: RBC t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.73 n1: 3.73 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 15.7 n1: 15.7 rs: Final st: NotStopd
id: BUN t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Calcium t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.7 n1: 8.7 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd id: Magnesium t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd id: BUN (6-20) t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 23 n1: 23 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.7 n1: 8.7 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.9 n1: 1.9 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:30:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 138 n1: 138 rs: Final st: NotStopd
pi: 4550015 hi: 10949 t0: [07:00:00 24/02/2016] tf: [06:00:00 25/02/2016] mn: Magnesium Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4550024 hi: 10949 t0: [10:00:00 24/02/2016] tf: [20:00:00 07/03/2016] mn: Multivitamins 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: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Alarms t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Ectopy Frequency t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [04:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [05:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Vent. Trigeminy st: NotStopd id: Ectopy Type t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd
id: Pain Present t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Riker-SAS Scale t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Pain Location t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Respiratory Rate t0: [01:15:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Temp. Site t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [06:00:00 24/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [06:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 36 vu: ml
id: Levophed-k t0: [06:00:00 24/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.03 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Level of Conscious t0: [06:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd
id: Service Type t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [06:30:00 24/02/2016] el: 4 cg: RN cu: CCU vo: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Service Type t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [07:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [07:00:00 24/02/2016] el: 4 cg: RN cu: CCU vo: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Trach Insert Date t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 38 n1: 38 u1: BPM st: NotStopd id: Airway Size t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2.5 n1: 2.5 st: NotStopd id: Mean Airway Pressure t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 4.76 n1: 4.76 u1: L/min st: NotStopd id: PEEP Set t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Tank A psi. t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Tank B psi. t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 270 n1: 270 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [07:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
pi: 4550203 hi: 10949 t0: [09:00:00 24/02/2016] tf: [10:00:00 25/02/2016] mn: Alteplase (Catheter Clearance) pt: Unit Dose st: Expired rt: IV fr: 2X dn: 0 dt: 2 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Pain Present t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 24/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Education Readiness t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Health Care Proxy t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: IV Therapy st: NotStopd id: Eye Opening t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: Follows Commands t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Abdominal Assessment t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LU Strength/Movement t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Assistance Device t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RU Strength/Movement t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraints Evaluated t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: BehaviorSubsided st: NotStopd id: Side Rails t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Color t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Therapeutic Bed t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: HOB Measurement t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: Verbal Response t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [07:00:00 24/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [07:00:00 24/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [08:00:00 24/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [08:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Temp. Site t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd
pi: 4550315 hi: 10949 t0: [20:00:00 24/02/2016] tf: [12:00:00 27/02/2016] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4550316 hi: 10949 t0: [10:00:00 24/02/2016] tf: [14:00:00 29/02/2016] mn: Vancomycin HCl pt: IV Piggyback st: Discontinued rt: IV fr: Q 24H ds: 8 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4550344 hi: 10949 t0: [20:00:00 24/02/2016] tf: [20:00:00 07/03/2016] mn: Senna pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4550345 hi: 10949 t0: [20:00:00 24/02/2016] tf: [20:00:00 07/03/2016] mn: Docusate Sodium (Liquid) pt: Unit Dose st: Discontinued via patient discharge rt: NG fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours pi: 4550346 hi: 10949 t0: [10:00:00 24/02/2016] tf: [20:00:00 07/03/2016] mn: Bisacodyl pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours pi: 4550347 hi: 10949 t0: [10:00:00 24/02/2016] tf: [20:00:00 07/03/2016] mn: Bisacodyl pt: Unit Dose st: Discontinued via patient discharge rt: PR fr: DAILY:PRN di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [09:00:00 24/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml
id: Service Type t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [11:00:00 24/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [10:00:00 24/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [11:00:00 24/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [11:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Total Hourly Output t0: [23:00:00 24/02/2016] el: 2 cg: RN cu: CCU pv: 70 cv: 70 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 24/02/2016] el: 2 cg: RN cu: CCU pv: 70 cv: 2848 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 24/02/2016] el: 2 cg: RN cu: CCU pv: 70 cv: 2848 ac: 24 ap: carryForward re: 0
id: Service Type t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 165 n1: 165 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Level/Response t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2-Mild st: NotStopd id: Pain Present t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: PainLevel Acceptable t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Riker-SAS Scale t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [11:00:00 24/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Pain Location t0: [11:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Headache st: NotStopd
id: Trach Insert Date t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 38 n1: 38 u1: BPM st: NotStopd id: Airway Size t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2.5 n1: 2.5 st: NotStopd id: Mean Airway Pressure t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 5.77 n1: 5.77 u1: L/min st: NotStopd id: PEEP Set t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Pressure Support t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Tank A psi. t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Tank B psi. t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Ve High t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 290 n1: 290 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 0 n2: 0 u2: mmHg st: NotStopd id: NBP t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 184 n1: 184 u1: mmHg v2: 107 n2: 107 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [13:00:00 24/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Tube Feeding t0: [13:00:00 24/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml
id: FiO2 Set t0: [14:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: MDI #1 (Puff/Drug) t0: [14:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [14:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Minute Volume(Obser) t0: [14:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 7.1 n1: 7.1 u1: L/min st: NotStopd id: PEEP Set t0: [14:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Resp Rate (Total) t0: [14:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Sputum Color/Consist t0: [14:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [14:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [14:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 305 n1: 305 u1: ml/B st: NotStopd id: Ventilator Mode t0: [14:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd
pi: 4551528 hi: 10949 t0: [16:00:00 24/02/2016] tf: [15:00:00 25/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Pain Present t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [14:00:00 24/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 170 n1: 170 u1: mmHg v2: 98 n2: 98 u2: mmHg st: NotStopd id: NBP t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 156 n1: 156 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [14:00:00 24/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [15:00:00 24/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [13:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [15:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 110 vu: ml
id: Temp. Site t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Less Restrict Meas. t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: GI Prophylaxis t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Alarms t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [09:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Patient/Sig Othr st: NotStopd id: Education Method t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Education Readiness t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: IV Therapy st: NotStopd id: Education Topic #1 t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: Follows Commands t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Abdominal Assessment t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LU Strength/Movement t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: RL Strength/Movement t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RU Strength/Movement t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Respiratory Pattern t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Location t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraints Evaluated t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: BehaviorSubsided st: NotStopd id: Restraints Evaluated t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Color t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Integrity t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Skin Temp/Condition t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Urine Color/Appear t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [14:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: HOB t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Activity t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Dangle st: NotStopd id: Activity Tolerance t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Skin Care t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#3 Cap Change t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Therapeutic Bed t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Back Care t0: [12:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Trach Insert Date t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: Cuff Pressure-Airway t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: FiO2 Set t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 38 n1: 38 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 7.3 n1: 7.3 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 320 n1: 320 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [16:00:00 24/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [17:00:00 24/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [16:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 400 vu: ml id: Urine Out Foley t0: [17:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Pain Present t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 24/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Heart Rate t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LU Strength/Movement t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: Level of Conscious t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 157 n1: 157 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Oral Cavity t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Precautions t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RU Strength/Movement t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: Respiratory Pattern t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Spontaneous Movement t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Temp. Site t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Rectal st: NotStopd id: Temperature C (calc) t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Sputum Color/Consist t0: [18:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd
id: Urine Out Foley t0: [18:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 400 vu: ml id: Urine Out Foley t0: [19:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 500 vu: ml
id: Service Type t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 170 n1: 170 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 155 n1: 155 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [17:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Trach Insert Date t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 38 n1: 38 u1: BPM st: NotStopd id: Airway Size t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Minute Volume(Obser) t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 4.94 n1: 4.94 u1: L/min st: NotStopd id: PEEP Set t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Tank A psi. t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 1900 n1: 1900 st: NotStopd id: Ve High t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 236 n1: 236 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:30:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Pain Location t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 37.5 n1: 37.5 u1: Deg. C st: NotStopd id: Temperature F t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99.5 n1: 99.5 u1: Deg. F st: NotStopd id: calprevflg t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [21:00:00 24/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [20:00:00 24/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 135 vu: ml id: Tube Feeding t0: [21:00:00 24/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [21:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 345 vu: ml
id: Less Restrict Meas. t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Education Topic #1 t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Abdominal Assessment t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LLL Lung Sounds t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Position Change t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Pupil Response R/L t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RLL Lung Sounds t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Urine Color/Appear t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: HOB t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: INV Line#3 Type/Site t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Oral Care t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: INV#3 Dsg Change t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Cap Change t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Tubing Change t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Therapeutic Bed t0: [21:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd
id: Service Type t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Venous CO2(Calc) t0: [21:58:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 36 n1: 36 rs: Final st: NotStopd id: Venous PvCO2 t0: [21:58:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 53 n1: 53 u1: mmHg rs: Final st: NotStopd id: Venous PvO2 t0: [21:58:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 40 n1: 40 u1: mmHg rs: Final st: NotStopd id: Venous pH t0: [21:58:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.42 n1: 7.42 u1: pH rs: Final st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [22:00:00 24/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 80 vu: ml id: GT Flush t0: [22:00:00 24/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 30 vu: ml id: Tube Feeding t0: [22:00:00 24/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [22:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 240 vu: ml
id: PO/Gastric In Total t0: [23:00:00 24/02/2016] el: 2 cg: RN cu: CCU cv: 110 ac: 24 ap: none re: 0
id: Trach Insert Date t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 14.7368 n1: 14.7368 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: Cuff Pressure-Airway t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: FiO2 Set t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Mean Airway Pressure t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 4.51 n1: 4.51 u1: L/min st: NotStopd id: PEEP Set t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Pressure Support t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Ve High t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 292 n1: 292 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Type t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [22:34:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Venous CO2(Calc) t0: [23:39:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 36 n1: 36 rs: Final st: NotStopd id: Venous PvCO2 t0: [23:39:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 55 n1: 55 u1: mmHg rs: Final st: NotStopd id: Venous PvO2 t0: [23:39:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 u1: mmHg rs: Final st: NotStopd id: Venous pH t0: [23:39:00 24/02/2016] el: 0 cg: 1663 cu: CCU v1: 7.41 n1: 7.41 u1: pH rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [23:50:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 12.7273 n1: 12.7273 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [23:50:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Airway Size t0: [23:50:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [23:50:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [23:50:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:50:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Mean Airway Pressure t0: [23:50:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:50:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 5.53 n1: 5.53 u1: L/min st: NotStopd id: PEEP Set t0: [23:50:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [23:50:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Pressure Support t0: [23:50:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: . st: NotStopd id: Resp Rate (Spont) t0: [23:50:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:50:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:50:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [23:50:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [23:50:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Set) t0: [23:50:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Ventilator Type t0: [23:50:00 24/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [00:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [00:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:35:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:40:00 24/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [00:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [00:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:35:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:40:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [00:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [00:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:35:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:40:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:35:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:40:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rate t0: [00:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [00:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [23:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rate t0: [23:35:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [23:40:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP t0: [00:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: NBP t0: [00:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 163 n1: 163 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP t0: [23:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg v2: 26 n2: 26 u2: mmHg st: NotStopd id: NBP t0: [23:35:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: NBP t0: [23:40:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: NBP Mean t0: [00:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: NBP Mean t0: [00:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: NBP Mean t0: [23:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: NBP Mean t0: [23:35:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: NBP Mean t0: [23:40:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [00:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [00:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:35:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:40:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous Weight t0: [23:45:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:35:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:40:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:35:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:40:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:35:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:40:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [00:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [00:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [23:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [23:35:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [23:40:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:35:00 25/02/2016] 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 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:35:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:40:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:35:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 17 n1: 17 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:40:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [00:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [00:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [23:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:35:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [23:40:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:30:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:30:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:35:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:40:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Pain Location t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [23:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 24/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [00:00:00 25/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [23:00:00 24/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [00:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 65 vu: ml id: Urine Out Foley t0: [23:00:00 24/02/2016] el: 1 cg: RN cu: CCU vo: 70 vu: ml
id: IV Infusion In Total t0: [23:00:00 24/02/2016] el: 2 cg: RN cu: CCU pv: 10 cv: 990 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 24/02/2016] el: 2 cg: RN cu: CCU pv: 55 cv: 2180 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 24/02/2016] el: 2 cg: RN cu: CCU pv: 45 cv: 1080 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Less Restrict Meas. t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Position Change t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: HOB t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Position t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Skin Care t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#3 Cap Change t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Therapeutic Bed t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [22:00:00 24/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Service Type t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 164 n1: 164 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 177 n1: 177 u1: mmHg v2: 92 n2: 92 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 25/02/2016] 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 25/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: calprevflg t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Pain Location t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: D5W 100.0ml t0: [02:00:00 25/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [01:00:00 25/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [02:00:00 25/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Stool Out Stool t0: [22:00:00 24/02/2016] el: 1 cg: RN cu: CCU vu: ml es: Medium id: Urine Out Foley t0: [02:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Stool Out Total t0: [23:00:00 24/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0 id: 24h Net Body Balance t0: [23:00:00 24/02/2016] el: 2 cg: RN cu: CCU pv: -15 cv: -668 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 24/02/2016] el: 2 cg: RN cu: CCU pv: -15 cv: -1803.37 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 24/02/2016] el: 2 cg: RN cu: CCU pv: -15 cv: -15 ac: 1 ap: none re: 0
id: GI Prophylaxis t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Eye Opening t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Abdominal Assessment t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LLL Lung Sounds t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RL Strength/Movement t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RLL Lung Sounds t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Tachypneic st: NotStopd id: Spontaneous Movement t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: Trach Insert Date t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Airway Size t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 6.11 n1: 6.11 u1: L/min st: NotStopd id: PEEP Set t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: . st: NotStopd id: Resp Rate (Total) t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Tank A psi. t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 1900 n1: 1900 st: NotStopd id: Ve High t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Sputum Color/Consist t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 287 n1: 287 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Type t0: [03:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rate t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 170 n1: 170 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 170 n1: 170 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: NBP Mean t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Previous Weight t0: [03:15:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Pain Location t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [03:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: HOB t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Oral Care t0: [01:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [04:00:00 25/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Stool Out Stool t0: [02:00:00 25/02/2016] el: 1 cg: RN cu: CCU vu: ml es: Medium
id: Less Restrict Meas. t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Less Restrict Meas. t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Position Change t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: INV Line#3 Type/Site t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Cap Change t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd
id: Trach Insert Date t0: [05:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: RSBI (<100) t0: [05:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 82.9876 n1: 82.9876 u1: units st: NotStopd id: Cuff Leak t0: [05:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: RSBI (<200) t0: [05:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 82.9876 n1: 82.9876 u1: units st: NotStopd id: Spon RR (Mech.) t0: [05:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [05:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 0.241 n1: 0.241 u1: L st: NotStopd id: Trach Cuff/Fenestra t0: [05:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [05:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [05:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [05:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd
id: Service Type t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 34 n1: 34 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [05:00:00 25/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [03:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 130 vu: ml id: Urine Out Foley t0: [04:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 130 vu: ml
id: Urine Out Foley t0: [05:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Stool Out Stool t0: [04:00:00 25/02/2016] el: 1 cg: RN cu: CCU vu: ml es: Large
id: Stool Out Total t0: [23:00:00 25/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0
pi: 4553764 hi: 10949 t0: [07:00:00 25/02/2016] tf: [06:00:00 26/02/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: BUN t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Calcium t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.9 n1: 8.9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 160 n1: 160 rs: Final st: NotStopd id: Magnesium t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.9 n1: 8.9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 160 n1: 160 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd
id: Hematocrit t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 32.9 n1: 32.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 11.1 n1: 11.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 526 n1: 526 rs: Final st: NotStopd id: RBC t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.68 n1: 3.68 u1: /mic l rs: Final st: NotStopd
id: WBC (4-11,000) t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: WBC t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Differential-Bands t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 0 n1: 0 rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:42:00 25/02/2016] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd
id: Pain Present t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Pain Location t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [06:00:00 25/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [07:00:00 25/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [06:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [07:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: GI Prophylaxis t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Eye Opening t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Abdominal Assessment t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Pupil Response R/L t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [02:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Bowel Sounds t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: HOB t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Oral Care t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Support Systems t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [05:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [06:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Service Type t0: [07:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [07:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [07:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [07:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [07:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [07:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [07:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 162 n1: 162 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [07:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [07:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GU Cath Insert Date t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Heart Rate t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: LL Strength/Movement t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: Level of Conscious t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 173 n1: 173 u1: mmHg v2: 114 n2: 114 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg st: NotStopd id: Orientation t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Precautions t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: Respiratory Pattern t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Urine Source t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 25/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 120 vu: ml id: Tube Feeding t0: [08:00:00 25/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [08:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: PO/Gastric In Total t0: [23:00:00 25/02/2016] el: 2 cg: RRT cu: CCU cv: 190 ac: 24 ap: none re: 0
id: Less Restrict Meas. t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Education Topic #1 t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Family Communication t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Family Called st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Abdominal Assessment t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LLE Temp/Color t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUE Temp/Color t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Oral Cavity t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Position Change t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: RLE Temp/Color t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Support Systems t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Urine Color/Appear t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Pt./Family Informed t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Trach Insert Date t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: Cuff Pressure-Airway t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: FiO2 Set t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Minute Volume(Obser) t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 6.9 n1: 6.9 u1: L/min st: NotStopd id: PEEP Set t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Resp Rate (Total) t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 1900 n1: 1900 st: NotStopd id: Ve High t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 240 n1: 240 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [09:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: BSA t0: [09:30:00 25/02/2016] el: 1033 cg: -1 cu: CCU v1: 1.80574 n1: 1.80574 u1: m2 id: Admit Wt t0: [09:30:00 25/02/2016] el: 1032 cg: -1 cu: CCU v1: 77.3 n1: 77.3 u1: kg id: Allergy 1 t0: [09:30:00 25/02/2016] el: 1020 cg: -1 cu: CCU v1: Aspirin id: Diagnosis/op t0: [09:30:00 25/02/2016] el: 1023 cg: -1 cu: CCU v1: CORONARY ARTERY DISEASE id: Service t0: [09:30:00 25/02/2016] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [09:30:00 25/02/2016] el: 1034 cg: -1 cu: CCU v1: 53 n1: 53 u1: inches id: Readmission t0: [09:30:00 25/02/2016] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [09:30:00 25/02/2016] el: 1006 cg: -1 cu: CCU v1: M id: Religion t0: [09:30:00 25/02/2016] el: 1000 cg: -1 cu: CCU v1: U id: Allergy 2 t0: [09:30:00 25/02/2016] el: 1021 cg: -1 cu: CCU v1: Penicillins id: Ext t0: [09:30:00 25/02/2016] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [09:30:00 25/02/2016] el: 1022 cg: -1 cu: CCU
pi: 4554345 hi: 10949 t0: [22:00:00 25/02/2016] tf: [09:00:00 29/02/2016] mn: Clonazepam pt: Unit Dose st: Discontinued rt: PO fr: QHS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Trach Insert Date t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 6.5 n1: 6.5 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 250 n1: 250 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Sputum Color/Consist t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Less Restrict Meas. t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Pain Present t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Abdominal Assessment t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Activity t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 189 n1: 189 u1: mmHg v2: 104 n2: 104 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 165 n1: 165 u1: mmHg v2: 99 n2: 99 u2: mmHg st: NotStopd id: NBP t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 168 n1: 168 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Previous WeightF t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: Previous WeightF t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: kg st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Color t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Tubing Change t0: [11:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Temp. Site t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 36.8889 n1: 36.8889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98.4 n1: 98.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [09:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: D5W 100.0ml t0: [10:00:00 25/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W 100.0ml t0: [12:00:00 25/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [10:00:00 25/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Tube Feeding t0: [12:00:00 25/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [10:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [12:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: MDI #1 (Puff/Drug) t0: [13:30:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: MDI #2 (Puff/Drug) t0: [13:30:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 v2: Albuterol st: NotStopd id: Sputum Color/Consist t0: [13:30:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:30:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Scant st: NotStopd
id: Trach Insert Date t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 6.2 n1: 6.2 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Less Restrict Meas. t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Pain Present t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: GCS Total t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Heart Rate t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 184 n1: 184 u1: mmHg v2: 92 n2: 92 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 176 n1: 176 u1: mmHg v2: 89 n2: 89 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Oral Cavity t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position Change t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Temp. Site t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [13:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [14:00:00 25/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Tube Feeding t0: [16:00:00 25/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [16:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: HOB t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [12:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [16:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd
id: Trach Insert Date t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Service Type t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Airway Size t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: NBP t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Oral Care t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Trach Care t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Trach Cuff/Fenestra t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: #7 st: NotStopd id: Tracheostomy Type t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Portex st: NotStopd id: Ventilator Type t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: calprevflg t0: [17:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Sputum Color/Consist t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [15:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd
pi: 4556082 hi: 10949 t0: [19:00:00 25/02/2016] tf: [18:00:00 26/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [18:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [18:00:00 25/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [18:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Trach Insert Date t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: FiO2 Set t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 6.27 n1: 6.27 u1: L/min st: NotStopd id: Apnea Time Interval t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 1900 n1: 1900 st: NotStopd id: Ve High t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 269 n1: 269 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Type t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Pain Present t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Vent. Trigeminy st: NotStopd id: Alarms t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 91 n2: 91 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Pain Cause t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: calprevflg t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [20:00:00 25/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [20:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 500 vu: ml
id: Diet Type t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Eye Opening t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GU Cath Insert Date t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Level of Conscious t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Respiratory Pattern t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Urine Source t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: Pain Present t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Pain Cause t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Movement/Turning st: NotStopd id: Pain Location t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [20:00:00 25/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [21:00:00 25/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [21:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 360 vu: ml
id: GI Prophylaxis t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Follows Commands t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: Abdominal Assessment t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Oral Cavity t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RL Strength/Movement t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Spontaneous Movement t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Urine Color/Appear t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Bowel Sounds t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Less Restrict Meas. t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Language Barrier st: NotStopd id: Education Handout t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Response t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: Education Topic #1 t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: HOB t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Activity t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Type t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Support Systems t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [19:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [21:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: INV Line#3 Type/Site t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Cap Change t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd
id: Service Type t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [22:00:00 25/02/2016] el: 1 ai: 128 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [22:00:00 25/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 35 vu: ml id: GT Flush t0: [22:00:00 25/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 35 vu: ml id: Tube Feeding t0: [22:00:00 25/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [22:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 300 vu: ml
id: Trach Insert Date t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 15.5556 n1: 15.5556 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: I:E Ratio t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 1:2 st: NotStopd id: Airway Size t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 36.3 n1: 36.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 5.36 n1: 5.36 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: PEEP Set t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Previous WeightF t0: [18:00:00 24/02/2016] el: 0 cg: RRT cu: CCU u1: kg st: NotStopd id: Resp Rate (Spont) t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 1900 n1: 1900 st: NotStopd id: Ve High t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 288 n1: 288 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Type t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [22:16:00 25/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Pain Present t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Pain Cause t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Location t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Level of Conscious t0: [22:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Dozing Intermit st: NotStopd id: Level of Conscious t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd
id: Service Type t0: [23:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [23:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [23:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [23:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP Mean t0: [23:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: NBP Mean t0: [23:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Precautions t0: [23:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [23:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [23:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [23:35:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:40:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Diet Type t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI Intub #1/Site t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GU Cath Insert Date t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Level of Conscious t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Respiratory Pattern t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Sputum Color/Consist t0: [23:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:45:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Urine Source t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 25/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [23:00:00 25/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml
id: IV Infusion In Total t0: [23:00:00 25/02/2016] el: 2 cg: RN cu: CCU pv: 10 cv: 740 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 25/02/2016] el: 2 cg: RN cu: CCU pv: 55 cv: 2010 ac: 24 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 25/02/2016] el: 2 cg: RN cu: CCU pv: 45 cv: 1080 ac: 24 ap: none re: 0
pi: 4557022 hi: 10949 t0: [01:00:00 26/02/2016] tf: [20:00:00 27/02/2016] mn: Norepinephrine pt: IV Piggyback st: Inactive (Due to a change order) rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
id: Trach Insert Date t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 13.3333 n1: 13.3333 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: I:E Ratio t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 1;2 st: NotStopd id: Airway Size t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 5.14 n1: 5.14 u1: L/min st: NotStopd id: PEEP Set t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 1900 n1: 1900 st: NotStopd id: Ve High t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 257 n1: 257 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Type t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [01:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Pain Present t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [01:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 To pain st: NotStopd id: Follows Commands t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 9 n1: 9 u1: points st: NotStopd id: Heart Rate t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rate t0: [01:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: LL Strength/Movement t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: Motor Response t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP t0: [01:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: NBP Mean t0: [01:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: Orientation t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: Respiratory Rate t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [01:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Temp. Site t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Verbal Response t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [00:00:00 26/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml
id: .9% Normal Saline 1000.0ml t0: [01:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [01:00:00 26/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [00:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 70 vu: ml id: Urine Out Foley t0: [01:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 15 vu: ml id: Urine Out Foley t0: [23:00:00 25/02/2016] el: 1 cg: RN cu: CCU vo: 70 vu: ml
id: Total Hourly Output t0: [23:00:00 25/02/2016] el: 2 cg: RN cu: CCU pv: 70 cv: 70 ac: 1 ap: none re: 0 id: Urine Out Total t0: [23:00:00 25/02/2016] el: 2 cg: RN cu: CCU pv: 70 cv: 2425 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 25/02/2016] el: 2 cg: RN cu: CCU pv: -15 cv: -415 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 25/02/2016] el: 2 cg: RN cu: CCU pv: -15 cv: -2218.37 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 25/02/2016] el: 2 cg: RN cu: CCU pv: -15 cv: -15 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 25/02/2016] el: 2 cg: RN cu: CCU pv: 70 cv: 2425 ac: 24 ap: carryForward re: 0
id: Service Type t0: [01:20:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:25:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:20:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:25:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:20:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:25:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:20:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:25:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:20:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:25:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:20:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:25:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:20:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [01:25:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:20:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:25:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [01:20:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: NBP t0: [01:25:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: NBP Mean t0: [01:20:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: NBP Mean t0: [01:25:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: Precautions t0: [01:20:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:25:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:20:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:25:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:20:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:25:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:20:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:25:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:20:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:25:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:20:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:25:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [01:20:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [01:25:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [01:20:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:25:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [01:20:00 26/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.07 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [01:25:00 26/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.07 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Education Topic #1 t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: HOB t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Activity t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LLE Temp/Color t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUE Temp/Color t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Oral Care t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Position t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: RLE Temp/Color t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUE Temp/Color t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Stool Guaiac t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Support Systems t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Pt./Family Informed t0: [23:00:00 25/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: INV Line#3 Type/Site t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Cap Change t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd
id: Less Restrict Meas. t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Heart Rate t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Level of Conscious t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Dozing Intermit st: NotStopd id: Level of Conscious t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: NBP t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Position Change t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: calprevflg t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [01:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Levophed-k t0: [02:00:00 26/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.07 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [02:30:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:30:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [02:30:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:30:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:30:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [02:30:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:30:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:30:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [02:30:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 152 n1: 152 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 163 n1: 163 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: NBP Mean t0: [02:30:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: Precautions t0: [02:30:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:30:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:30:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:30:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:30:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:30:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [02:30:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [02:30:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [02:30:00 26/02/2016] el: 4 cg: RN cu: CCU vo: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Pain Present t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Location t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [02:00:00 26/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [02:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Less Restrict Meas. t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Level of Conscious t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Position Change t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [03:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: HOB t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Position t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd
id: Service Type t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: calprevflg t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Trach Insert Date t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 14.7368 n1: 14.7368 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 120 n1: 120 u1: units st: NotStopd id: FiO2 Set t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 1:2 st: NotStopd id: Airway Size t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 5.7 n1: 5.7 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: RSBI (<200) t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 120 n1: 120 u1: units st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 1900 n1: 1900 st: NotStopd id: Ve High t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 0.225 n1: 0.225 u1: L st: NotStopd id: Sputum Color/Consist t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 301 n1: 301 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Type t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: WBC (4-11,000) t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 17.6 n1: 17.6 rs: Final st: NotStopd id: WBC t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 17.6 n1: 17.6 rs: Final st: NotStopd id: Hematocrit t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 33.3 n1: 33.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 11.3 n1: 11.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 600 n1: 600 rs: Final st: NotStopd id: RBC t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.75 n1: 3.75 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 17.6 n1: 17.6 rs: Final st: NotStopd
id: GI Prophylaxis t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Eye Opening t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: RL Strength/Movement t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Guaiac t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: INV#3 Cap Change t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Urine Color/Appear t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Light Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [04:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [04:00:00 26/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [04:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 160 vu: ml
id: Cuff Leak t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: Tracheostomy Cuff t0: [04:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd
id: Chloride t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 94 n1: 94 rs: Final st: NotStopd id: Creatinine t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Magnesium t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Potassium t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 131 n1: 131 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 94 n1: 94 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 131 n1: 131 rs: Final st: NotStopd
id: BUN t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Calcium t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 9.3 n1: 9.3 u1: mg/dl rs: Final st: NotStopd id: Glucose t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 154 n1: 154 rs: Final st: NotStopd id: Phosphorous t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd id: BUN (6-20) t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 9.3 n1: 9.3 u1: mg/dl rs: Final st: NotStopd id: Glucose (70-105) t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 154 n1: 154 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.2 n1: 3.2 u1: mEq/L rs: Final st: NotStopd
id: Respiratory Rate t0: [02:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd
id: Service Type t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Health Care Proxy t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 162 n1: 162 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 154 n1: 154 u1: mmHg v2: 94 n2: 94 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [05:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [06:00:00 26/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [06:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: WBC (4-11,000) t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.3 n1: 14.3 rs: Final st: NotStopd id: WBC t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.3 n1: 14.3 rs: Final st: NotStopd id: Hematocrit t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 31.8 n1: 31.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 10.8 n1: 10.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 532 n1: 532 rs: Final st: NotStopd id: RBC t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.56 n1: 3.56 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.3 n1: 14.3 rs: Final st: NotStopd
id: Carbon Dioxide t0: [03:58:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd
id: Compliance (40-60ml) t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 12.7273 n1: 12.7273 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 6.6 n1: 6.6 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 285 n1: 285 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Ventilator Mode t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [07:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [07:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 166 n1: 166 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [07:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [08:00:00 26/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [08:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 20 vu: ml
id: BUN t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Calcium t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 9.4 n1: 9.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd id: Magnesium t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 31 n1: 31 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 9.4 n1: 9.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Chloride (100-112) t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 101 n1: 101 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [06:33:00 26/02/2016] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd
id: Service Type t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 159 n1: 159 u1: mmHg v2: 92 n2: 92 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [09:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Less Restrict Meas. t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Education Topic #1 t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: INV Line#3 Type/Site t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position Change t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: INV#3 Dsg Change t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: RL Strength/Movement t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Tubing Change t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Urine Color/Appear t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Service Type t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [10:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [10:00:00 26/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [10:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 70 vu: ml
id: Compliance (40-60ml) t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 15.5556 n1: 15.5556 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 5.1 n1: 5.1 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 293 n1: 293 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Ventilator Mode t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [11:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [11:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [11:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [12:00:00 26/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [12:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 70 vu: ml
id: IV Infusion In Total t0: [23:00:00 26/02/2016] el: 2 cg: RN cu: CCU pv: 25 cv: 655 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 26/02/2016] el: 2 cg: RN cu: CCU pv: 115 cv: 1735 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 26/02/2016] el: 2 cg: RN cu: CCU pv: 120 cv: 120 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 26/02/2016] el: 2 cg: RN cu: CCU pv: 90 cv: 1080 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 26/02/2016] el: 2 cg: RN cu: CCU pv: 120 cv: 1365 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 26/02/2016] el: 2 cg: RN cu: CCU pv: -5 cv: 370 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 26/02/2016] el: 2 cg: RN cu: CCU pv: -5 cv: -1848.37 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 26/02/2016] el: 2 cg: RN cu: CCU pv: -5 cv: -5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 26/02/2016] el: 2 cg: RN cu: CCU pv: 120 cv: 1365 ac: 24 ap: none re: 0
id: Service Type t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [14:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [13:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4558652 hi: 10949 t0: [22:00:00 26/02/2016] tf: [11:00:00 27/02/2016] mn: Midodrine pt: Unit Dose st: Discontinued rt: PO fr: QHS ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Temp. Site t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [14:00:00 26/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [14:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Less Restrict Meas. t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Range of Motion t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Education Topic #1 t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Abdominal Assessment t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Motor Response t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position Change t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RL Strength/Movement t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Removed x 5 Mins t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Side Rails t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Urine Color/Appear t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [12:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Compliance (40-60ml) t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 13.3333 n1: 13.3333 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 7.5 n1: 7.5 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Brown v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 278 n1: 278 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [15:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [15:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [15:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 159 n1: 159 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 154 n1: 154 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 37.7222 n1: 37.7222 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 99.9 n1: 99.9 u1: Deg. F st: NotStopd id: calprevflg t0: [15:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [16:00:00 26/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [16:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 90 vu: ml
id: GI Prophylaxis t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Eye Opening t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Abdominal Assessment t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: RL Strength/Movement t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [16:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Service Type t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [17:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4559738 hi: 10949 t0: [19:00:00 26/02/2016] tf: [18:00:00 27/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 19 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 157 n1: 157 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [18:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [10:00:00 26/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W 100.0ml t0: [14:00:00 26/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [18:00:00 26/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [18:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Compliance (40-60ml) t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 15.5556 n1: 15.5556 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 5.6 n1: 5.6 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Brown v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 292 n1: 292 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: INV Line#3 Zero/Cal t0: [21:00:00 26/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: INV#3 WaveformAppear t0: [21:00:00 26/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Less Restrict Meas. t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Pain Present t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 26/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Activity t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 158 n1: 158 u1: mmHg v2: 97 n2: 97 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 164 n1: 164 u1: mmHg v2: 97 n2: 97 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Pain Location t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Temp. Site t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 36.6667 n1: 36.6667 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Pt./Family Informed t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: D5W 100.0ml t0: [20:00:00 26/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [20:00:00 26/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Tube Feeding t0: [21:00:00 26/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [20:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 400 vu: ml id: Urine Out Foley t0: [21:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [21:15:00 26/02/2016] el: 4 ai: 210 cg: CoWker cu: CCU vo: 10 vu: ml
id: Service Type t0: [22:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [22:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [22:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [22:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg v2: 27 n2: 27 u2: mmHg st: NotStopd id: NBP t0: [22:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg v2: 37 n2: 37 u2: mmHg st: NotStopd id: NBP Mean t0: [22:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: mmHg st: NotStopd id: NBP Mean t0: [22:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: Precautions t0: [22:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [22:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [22:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [22:05:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:15:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [22:15:00 26/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.0344976 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Less Restrict Meas. t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Pain Present t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 27/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #1 t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Heart Rate t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: LL Strength/Movement t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: LU Strength/Movement t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Level of Conscious t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 176 n1: 176 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Oral Cavity t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position Change t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 27/02/2016] 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 26/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: RU Strength/Movement t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Normal st: NotStopd id: Reason For Restraint t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Integrity t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: SpO2 t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Bloody v2: Thick st: NotStopd id: Sputum Source/Amt t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Support Systems t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Urine Color/Appear t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Pt./Family Informed t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 26/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 26/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [23:00:00 26/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [23:00:00 26/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 5 vu: ml id: Urine Out Foley t0: [23:00:00 26/02/2016] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Levophed-k t0: [23:00:00 26/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.0689953 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Compliance (40-60ml) t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 11.6667 n1: 11.6667 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 5.08 n1: 5.08 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 245 n1: 245 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Ventilator Mode t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: NBP t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Position t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 27/02/2016] 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 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: calprevflg t0: [01:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [01:00:00 27/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [01:00:00 27/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [01:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 180 vu: ml
id: Levophed-k t0: [00:00:00 27/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [01:00:00 27/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Range of Motion t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Heart Rate t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 154 n1: 154 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Position Change t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Removed x 5 Mins t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: calprevflg t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [02:00:00 27/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [03:00:00 27/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [02:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [03:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Less Restrict Meas. t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Range of Motion t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Eye Opening t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Activity t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: Level of Conscious t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 166 n1: 166 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Oral Cavity t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Position Change t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: Removed x 5 Mins t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Temp. Site t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [03:00:00 27/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [04:00:00 27/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [05:00:00 27/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [04:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [05:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Trach Insert Date t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 16.4706 n1: 16.4706 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: RSBI Not Completed t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: No Spon Resp st: NotStopd id: FiO2 Set t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 1:2 st: NotStopd id: Airway Size t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 5.06 n1: 5.06 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 3000 n1: 3000 st: NotStopd id: Tank B psi. t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Ve High t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 325 n1: 325 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: MDI #1 (Puff/Drug) t0: [04:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd
id: Pain Present t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Daily Wake Up t0: [04:00:00 27/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: HOB t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: AntiEmbDevice/Status t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None/Remarks st: NotStopd id: Pain Location t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position t0: [03:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [05:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd
id: Cuff Pressure-Airway t0: [20:00:00 26/02/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd
id: Service Type t0: [05:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:35:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:35:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:35:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [05:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [05:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [05:35:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rate t0: [05:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rate t0: [05:35:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: NBP t0: [05:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: NBP Mean t0: [05:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: Precautions t0: [05:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [05:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [05:35:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:35:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:35:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:35:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:35:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:35:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [05:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [05:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [05:35:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [05:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:35:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [05:30:00 27/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.07 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [05:35:00 27/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.07 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 9.8 n1: 9.8 rs: Final st: NotStopd id: WBC t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 9.8 n1: 9.8 rs: Final st: NotStopd id: Hematocrit t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 35.4 n1: 35.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 12.2 n1: 12.2 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 368 n1: 368 rs: Final st: NotStopd id: RBC t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.96 n1: 3.96 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 9.8 n1: 9.8 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [06:00:00 27/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.07 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: BUN t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 37 n1: 37 rs: Final st: NotStopd id: Calcium t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.7 n1: 8.7 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Magnesium t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 37 n1: 37 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 8.7 n1: 8.7 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 32 n1: 32 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 103 n1: 103 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.5 n1: 3.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:32:00 27/02/2016] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd
pi: 4561292 hi: 10949 t0: [09:00:00 27/02/2016] tf: [08:00:00 28/02/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 9 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Trach Insert Date t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 14.7368 n1: 14.7368 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 7.1 n1: 7.1 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Brown v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 294 n1: 294 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Pain Present t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [07:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 27/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [07:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [07:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 156 n1: 156 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 168 n1: 168 u1: mmHg v2: 96 n2: 96 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Pain Location t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [07:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [07:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [06:00:00 27/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml st: Stopped id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [06:00:00 27/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 5.07281 vu: ml id: Urine Out Foley t0: [08:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Levophed-k t0: [07:00:00 27/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.07 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: IV Infusion In Total t0: [23:00:00 27/02/2016] el: 2 cg: RN cu: CCU pv: 24.5 cv: 965.218 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 27/02/2016] el: 2 cg: RN cu: CCU pv: 69.5 cv: 1780.22 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 27/02/2016] el: 2 cg: RN cu: CCU pv: 20 cv: 20 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 27/02/2016] el: 2 cg: RN cu: CCU pv: 45 cv: 765 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 27/02/2016] el: 2 cg: RN cu: CCU pv: 20 cv: 1000 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 27/02/2016] el: 2 cg: RN cu: CCU pv: 49.5 cv: 780.218 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 27/02/2016] el: 2 cg: RN cu: CCU pv: 49.5 cv: -1068.15 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 27/02/2016] el: 2 cg: RN cu: CCU pv: 49.5 cv: 49.5 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 27/02/2016] el: 2 cg: RN cu: CCU pv: 20 cv: 1000 ac: 24 ap: none re: 0
id: GI Prophylaxis t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: GI#1 Intub Site t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Eye Opening t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Clamped st: NotStopd id: GU Cath Insert Date t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Abdominal Assessment t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: RL Strength/Movement t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Family Communication t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Fam Talked to RN st: NotStopd id: Skin Color t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Diaphoretic st: NotStopd id: Braden Activity t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
pi: 4561592 hi: 10949 t0: [11:00:00 27/02/2016] tf: [09:00:00 29/02/2016] mn: Fentanyl Patch pt: Unit Dose st: Discontinued rt: TP fr: Q72H dn: 0 di: Ongoing xv: 36 xu: Hours pi: 4561593 hi: 10949 t0: [11:00:00 27/02/2016] tf: [10:00:00 28/02/2016] mn: Lorazepam 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: [09:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: calprevflg t0: [09:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
pi: 4561768 hi: 10949 t0: [22:00:00 27/02/2016] tf: [10:00:00 01/03/2016] mn: Midodrine pt: Unit Dose st: Discontinued rt: PO fr: HS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
pi: 4561818 hi: 10949 t0: [10:00:00 27/02/2016] tf: [10:00:00 01/03/2016] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Compliance (40-60ml) t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 16.4706 n1: 16.4706 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: Mean Airway Pressure t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 5.6 n1: 5.6 u1: L/min st: NotStopd id: PEEP Set t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 285 n1: 285 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Ventilator Mode t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [13:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
pi: 4561979 hi: 10949 t0: [14:00:00 27/02/2016] tf: [13:00:00 28/02/2016] mn: Haloperidol pt: Unit Dose st: Expired rt: IM fr: ONCE ds: 14 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [13:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [13:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rate t0: [11:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [11:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [12:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [12:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [12:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rate t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [11:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [11:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [12:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 150 n1: 150 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP t0: [11:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP t0: [11:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP t0: [12:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP t0: [13:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 155 n1: 155 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [12:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: NBP Mean t0: [12:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: NBP Mean t0: [12:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: NBP Mean t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [12:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [12:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [12:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [13:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [11:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [12:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [12:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [12:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [13:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: calprevflg t0: [11:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [14:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [12:15:00 27/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.106943 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [12:30:00 27/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.103493 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [12:45:00 27/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.103 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [13:00:00 27/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.102 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [13:15:00 27/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.084 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [14:00:00 27/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.0482967 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [15:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: NBP t0: [15:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [15:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [15:00:00 27/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.035 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [12:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 40 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [07:00:00 27/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 10.1456 vu: ml st: Stopped id: Urine Out Foley t0: [12:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: GI Prophylaxis t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: NPO st: NotStopd id: Diet Type t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Follows Commands t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Abdominal Assessment t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LLL Lung Sounds t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Stimul st: NotStopd id: Motor Response t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: RLL Lung Sounds t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Source t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Bowel Sounds t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Less Restrict Meas. t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Less Restrict Meas. t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Range of Motion t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Altered LOC st: NotStopd id: Education Handout t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Education Topic #2 t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU st: NotStopd id: Family Communication t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Position Change t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Location t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Type t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: BehaviorSubsided st: NotStopd id: Restraints Evaluated t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: BehaviorSubsided st: NotStopd id: Side Rails t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Support Systems t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Pt./Family Informed t0: [08:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [10:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Trach Insert Date t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 12.7273 n1: 12.7273 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 6.8 n1: 6.8 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 7 n1: 7 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 245 n1: 245 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rate t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: NBP Mean t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:15:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [16:00:00 27/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.035 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped id: Levophed-k t0: [16:15:00 27/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.07 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [17:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 148 n1: 148 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP t0: [17:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: NBP t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: NBP Mean t0: [17:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [17:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [17:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 37.2778 n1: 37.2778 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 99.1 n1: 99.1 u1: Deg. F st: NotStopd id: calprevflg t0: [17:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:45:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [17:00:00 27/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.07 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [17:45:00 27/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.07 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [18:00:00 27/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.0807244 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Present t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Riker-SAS Scale t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Riker-SAS Scale t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Daily Wake Up t0: [12:00:00 27/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [16:00:00 27/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Pain Location t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Location t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Pain Type t0: [16:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml
id: D5W 100.0ml t0: [12:00:00 27/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 200 vu: ml id: D5W 100.0ml t0: [13:00:00 27/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: D5W 100.0ml t0: [16:00:00 27/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [14:00:00 27/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [15:00:00 27/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [16:00:00 27/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [17:00:00 27/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [18:00:00 27/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [15:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: BSA t0: [18:50:00 27/02/2016] el: 1033 cg: -1 cu: CCU v1: 1.80574 n1: 1.80574 u1: m2 id: Admit Wt t0: [18:50:00 27/02/2016] el: 1032 cg: -1 cu: CCU v1: 77.3 n1: 77.3 u1: kg id: Allergy 1 t0: [18:50:00 27/02/2016] el: 1020 cg: -1 cu: CCU v1: Aspirin id: Diagnosis/op t0: [18:50:00 27/02/2016] el: 1023 cg: -1 cu: CCU v1: CORONARY ARTERY DISEASE id: Service t0: [18:50:00 27/02/2016] el: 1026 cg: -1 cu: CCU v1: CME id: Admit Ht t0: [18:50:00 27/02/2016] el: 1034 cg: -1 cu: CCU v1: 53 n1: 53 u1: inches id: Readmission t0: [18:50:00 27/02/2016] el: 1014 cg: -1 cu: CCU id: Marital Status t0: [18:50:00 27/02/2016] el: 1006 cg: -1 cu: CCU v1: M id: Religion t0: [18:50:00 27/02/2016] el: 1000 cg: -1 cu: CCU v1: U id: Allergy 2 t0: [18:50:00 27/02/2016] el: 1021 cg: -1 cu: CCU v1: Penicillins id: Ext t0: [18:50:00 27/02/2016] el: 1010 cg: -1 cu: CCU id: Allergy 3 t0: [18:50:00 27/02/2016] el: 1022 cg: -1 cu: CCU
id: Trach Insert Date t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 11.6667 n1: 11.6667 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 5.56 n1: 5.56 u1: L/min st: NotStopd id: PEEP Set t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 318 n1: 318 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Type t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
pi: 4562726 hi: 10949 t0: [21:00:00 27/02/2016] tf: [17:00:00 29/02/2016] mn: Norepinephrine pt: IV Piggyback st: Discontinued rt: IV DRIP fr: TITRATE TO di: Ongoing xu: Enter on Label
pi: 4562922 hi: 10949 t0: [22:00:00 27/02/2016] tf: [21:00:00 28/02/2016] mn: PNEUMOcoccal Vac Polyvalent pt: Unit Dose st: Expired rt: IM fr: ONCE ds: 22 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4562923 hi: 10949 t0: [22:00:00 27/02/2016] tf: [20:00:00 07/03/2016] mn: Influenza Virus Vaccine pt: Unit Dose st: Discontinued via patient discharge rt: IM fr: ASDIR di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: IV #3 Reason DC'D t0: [22:00:00 27/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Risk for Falls t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: IV #3 Insert Date t0: [22:00:00 27/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV #3 Site/Size t0: [22:00:00 27/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: IV Site Appear #3 t0: [22:00:00 27/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: NBP t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 36.7778 n1: 36.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 98.2 n1: 98.2 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [20:00:00 27/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: TF Residual t0: [20:00:00 27/02/2016] el: 1 ai: 128 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [20:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [20:00:00 27/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Tube Feeding t0: [21:00:00 27/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [22:00:00 27/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [20:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 130 vu: ml id: Urine Out Foley t0: [21:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 20 vu: ml id: Urine Out Foley t0: [22:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Levophed-k t0: [20:00:00 27/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.045 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [21:00:00 27/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.045 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4562929 hi: 10949 t0: [10:00:00 27/02/2016] tf: [09:00:00 29/02/2016] mn: Lansoprazole Oral Disintegrating Tab pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Education Barrier t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Commun Barrier st: NotStopd id: Education Handout t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Education Readiness t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Topic #1 t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#3 Type/Site t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Activity t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LLL Lung Sounds t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Oral Care t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position Change t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#3 Dsg Change t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: RL Strength/Movement t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RLL Lung Sounds t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Color t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Golden v2: Soft st: NotStopd id: Stool Guaiac t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Support Systems t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Tubing Change t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: Therapeutic Bed t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [21:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Service Type t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [22:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [22:00:00 27/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.08 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Trach Insert Date t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 12.7273 n1: 12.7273 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 5.46 n1: 5.46 u1: L/min st: NotStopd id: PEEP Set t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 281 n1: 281 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Type t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [23:00:00 27/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [23:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [23:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: BPM st: NotStopd id: Heart Rate t0: [23:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP t0: [23:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 152 n1: 152 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: NBP Mean t0: [23:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [23:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:30:00 27/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 27/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [23:00:00 27/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [23:00:00 27/02/2016] el: 1 cg: RN cu: CCU vo: 20 vu: ml
id: Levophed-k t0: [23:00:00 27/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [23:30:00 27/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4563202 hi: 10949 t0: [02:00:00 28/02/2016] tf: [01:00:00 29/02/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: GI Prophylaxis t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Activity t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LLL Lung Sounds t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LUL Lung Sounds t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: NBP t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 153 n1: 153 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 168 n1: 168 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position Change t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RLL Lung Sounds t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RUL Lung Sounds t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Golden v2: Soft st: NotStopd id: Stool Guaiac t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Temp. Site t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [23:00:00 27/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [20:00:00 27/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 50 vu: ml id: GT Flush t0: [00:00:00 28/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 50 vu: ml id: Tube Feeding t0: [00:00:00 28/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [01:00:00 28/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [02:00:00 28/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [00:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [01:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 35 vu: ml id: Urine Out Foley t0: [02:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Levophed-k t0: [00:00:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [01:00:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [02:00:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 27/02/2016] el: 2 cg: RN cu: CCU cv: 50 ac: 24 ap: none re: 0
id: Service Type t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 169 n1: 169 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [03:00:00 28/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [04:00:00 28/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml
id: Levophed-k t0: [03:00:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [04:00:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Trach Insert Date t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 11.6667 n1: 11.6667 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: RSBI Not Completed t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: No Spon Resp st: NotStopd id: FiO2 Set t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 5.31 n1: 5.31 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 268 n1: 268 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: WBC (4-11,000) t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 12.6 n1: 12.6 rs: Final st: NotStopd id: WBC t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 12.6 n1: 12.6 rs: Final st: NotStopd id: Hematocrit t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 31.9 n1: 31.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 10.3 n1: 10.3 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 506 n1: 506 rs: Final st: NotStopd id: RBC t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.46 n1: 3.46 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 12.6 n1: 12.6 rs: Final st: NotStopd
id: Pain Present t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 169 n1: 169 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: calprevflg t0: [05:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [00:00:00 28/02/2016] el: 1 ai: 128 cg: RN cu: CCU vo: 10 vu: ml id: TF Residual t0: [05:00:00 28/02/2016] el: 1 ai: 128 cg: RN cu: CCU vo: 40 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [05:00:00 28/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [06:00:00 28/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Stool Out Stool t0: [00:00:00 28/02/2016] el: 1 cg: RN cu: CCU vu: ml es: Medium id: Stool Out Stool t0: [05:00:00 28/02/2016] el: 1 cg: RN cu: CCU vu: ml es: Medium id: Urine Out Foley t0: [03:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [04:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [05:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 120 vu: ml id: Urine Out Foley t0: [06:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Levophed-k t0: [05:00:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [06:00:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Stool Out Total t0: [23:00:00 28/02/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0
id: Less Restrict Meas. t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Eye Opening t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 6 n1: 6 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Abdominal Assessment t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Activity t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LLL Lung Sounds t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LUL Lung Sounds t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 No Response st: NotStopd id: Oral Care t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position Change t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: RL Strength/Movement t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RLL Lung Sounds t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RUL Lung Sounds t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Spontaneous Movement t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Golden v2: Soft st: NotStopd id: INV#3 Cap Change t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: Therapeutic Bed t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [02:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [06:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: BUN t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Calcium t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 9 n1: 9 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 148 n1: 148 rs: Final st: NotStopd id: Magnesium t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 33 n1: 33 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 9 n1: 9 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 148 n1: 148 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.3 n1: 3.3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.2 n1: 4.2 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:55:00 28/02/2016] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd
id: Service Type t0: [07:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [07:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 149 n1: 149 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [07:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [07:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 t0: [07:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [07:00:00 28/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [00:00:00 28/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 14.5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [01:00:00 28/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 14.5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [02:00:00 28/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 14.4938 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [03:00:00 28/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 14.4938 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [04:00:00 28/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 14.4938 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [05:00:00 28/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 14.4938 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [06:00:00 28/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 14.4938 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [07:00:00 28/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 14.4938 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [21:00:00 27/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 14.5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [22:00:00 27/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 14.5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [23:00:00 27/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 14.5 vu: ml
id: Levophed-k t0: [07:30:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [20:00:00 27/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 6.5 vu: ml
id: Service Type t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 160 n1: 160 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: calprevflg t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [07:00:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Less Restrict Meas. t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Distraction st: NotStopd id: Pain Present t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Trach Insert Date t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Trach Insert Date t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Circulation/SkinInt t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Compliance (40-60ml) t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 12.1739 n1: 12.1739 u1: ml/cmH st: NotStopd id: Riker-SAS Scale t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Cuff Leak t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: Daily Wake Up t0: [07:00:00 28/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Education Topic #1 t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: FiO2 Set t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GI Intub #1/Site t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: High Insp. Pressure t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Abdominal Assessment t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Airway Size t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 7.0 mm st: NotStopd id: Airway Size t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Tracheostomy st: NotStopd id: Airway Type t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Intubation Date t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: LL Strength/Movement t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LLL Lung Sounds t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LUL Lung Sounds t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 5.5 n1: 5.5 u1: L/min st: NotStopd id: Oral Cavity t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PEEP Set t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pain Location t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Position Change t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: RL Strength/Movement t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RLL Lung Sounds t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUE Temp/Color t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RUL Lung Sounds t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Pattern t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate Set t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Restraint Location t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Type t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Sensitivity-Vent t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: Side Rails t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Diaphoretic st: NotStopd id: Spontaneous Movement t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Color/Consist t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Sputum Source/Amt t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 257 n1: 257 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes v2: No st: NotStopd id: Trach Cuff/Fenestra t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: #7 st: NotStopd id: Trach Size t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Portex st: NotStopd id: Tracheostomy Type t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Urine Color/Appear t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Ventilator Mode t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [07:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: Ventilator Type t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Verbal Response t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Waveform-Vent t0: [08:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd id: Pt./Family Informed t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [08:00:00 28/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [08:00:00 28/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [08:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: HOB t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: Skin Care t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#3 Cap Change t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: Therapeutic Bed t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: HOB Measurement t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: In-Line Sx Change t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 24 n2: 24 st: NotStopd id: Back Care t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Service Type t0: [08:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [08:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [08:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [08:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [08:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Precautions t0: [08:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [08:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [08:15:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [08:15:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.06 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [08:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [09:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [09:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [08:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [08:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [09:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [08:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP t0: [09:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [08:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: NBP Mean t0: [09:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Precautions t0: [08:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [09:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [08:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [09:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 37.3889 n1: 37.3889 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 99.3 n1: 99.3 u1: Deg. F st: NotStopd id: calprevflg t0: [08:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [08:30:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.06 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [09:00:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.08 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [09:30:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.08 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [10:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [10:00:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.08 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline 1000.0ml t0: [09:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [08:00:00 28/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 120 vu: ml id: Tube Feeding t0: [09:00:00 28/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [10:00:00 28/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [10:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: PO/Gastric In Total t0: [23:00:00 28/02/2016] el: 2 cg: RN cu: CCU cv: 350 ac: 24 ap: none re: 0
id: Trach Insert Date t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 12.1739 n1: 12.1739 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 4.5 n1: 4.5 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 317 n1: 317 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [12:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [11:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [11:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [11:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [11:00:00 28/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [11:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 25 vu: ml id: Urine Out Foley t0: [12:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Levophed-k t0: [11:00:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.08 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [12:00:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.08 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
pi: 4564218 hi: 10949 t0: [14:00:00 28/02/2016] tf: [11:00:00 29/02/2016] mn: Heparin pt: IV Piggyback st: Discontinued rt: IV fr: ASDIR it: N ss: Y di: Ongoing xv: 36 xu: Hours
id: Trach Insert Date t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 10.7692 n1: 10.7692 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 6.9 n1: 6.9 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 274 n1: 274 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 28/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Heparin io: D5W 250.0ml + 25000Uhr Heparin el: 300 cg: RN cu: CCU am: 25000 du: Uhr rt: IV Drip
id: Pain Present t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 28/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 165 n1: 165 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 150 n1: 150 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Pain Location t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [14:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: calprevflg t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [15:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [12:00:00 28/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [13:00:00 28/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [14:00:00 28/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [15:00:00 28/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [13:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [14:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [15:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [16:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Levophed-k t0: [13:00:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.08 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [14:00:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.07 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [15:00:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.07 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [16:00:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.07 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Ectopy Frequency t0: [14:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Heart Rhythm t0: [14:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd
id: Trach Insert Date t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 11.2 n1: 11.2 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: No st: NotStopd id: Cuff Pressure-Airway t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: FiO2 Set t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: . st: NotStopd id: Airway Size t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 6.7 n1: 6.7 u1: L/min st: NotStopd id: PEEP Set t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 3 n1: 3 u1: cmH2O st: NotStopd id: SpO2 t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 270 n1: 270 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Pain Present t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 28/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rate t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 181 n1: 181 u1: mmHg v2: 96 n2: 96 u2: mmHg st: NotStopd id: NBP t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 179 n1: 179 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: NBP t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 182 n1: 182 u1: mmHg v2: 89 n2: 89 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Pain Location t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: calprevflg t0: [17:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [17:00:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.043 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [18:00:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.043 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [19:00:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.043 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: GI Prophylaxis t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Eye Opening t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GCS Total t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Abdominal Assessment t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUE Temp/Color t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: RL Strength/Movement t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUE Temp/Color t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Cool v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Golden v2: Liquid st: NotStopd id: Stool Guaiac t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Urine Color/Appear t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Amber v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Range of Motion t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Family Communication t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: BED BATH t0: [15:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: DONE id: HOB t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Activity t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Reason For Restraint t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Type t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: BehaviorSubsided st: NotStopd id: Side Rails t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Color t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Support Systems t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Back Care t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: HOB t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#3 Type/Site t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Activity t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#3 Dsg Change t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: Skin Care t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#3 Cap Change t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Tubing Change t0: [13:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: Therapeutic Bed t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: In-Line Sx Change t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 24 n2: 24 st: NotStopd id: Back Care t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: GT Flush t0: [16:00:00 28/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 120 vu: ml id: Tube Feeding t0: [16:00:00 28/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [17:00:00 28/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [18:00:00 28/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [17:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Less Restrict Meas. t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Less Restrict Meas. t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Education Topic #1 t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #1 t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Fam Talked to MD st: NotStopd id: Family Communication t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Fam Talked to RN st: NotStopd id: Follows Commands t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Abdominal Assessment t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position Change t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: RL Strength/Movement t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Golden v2: Loose st: NotStopd id: Support Systems t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Urine Source t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pt./Family Informed t0: [18:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: LLE Temp/Color t0: [21:00:00 28/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: LUE Temp/Color t0: [21:00:00 28/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: RLE Temp/Color t0: [21:00:00 28/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: RUE Temp/Color t0: [21:00:00 28/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Less Restrict Meas. t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Ectopy Frequency t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: BED BATH t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: done id: Follows Commands t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 164 n1: 164 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 162 n1: 162 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Oral Care t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position Change t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: Assistance Device t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Golden v2: Loose st: NotStopd id: INV#3 Cap Change t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Tubing Change t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: In-Line Sx Change t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 24 n2: 24 st: NotStopd id: Verbal Response t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [20:00:00 28/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Tube Feeding t0: [21:00:00 28/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [20:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: Urine Out Foley t0: [21:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Levophed-k t0: [20:00:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.043 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [20:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:25:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:35:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:25:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:35:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:25:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:35:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:35:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [20:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [22:25:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [22:35:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [20:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:25:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:35:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [20:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rate t0: [22:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [22:25:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [22:35:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rate t0: [22:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:25:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [22:35:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [22:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [20:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 183 n1: 183 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 160 n1: 160 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP t0: [22:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: NBP t0: [22:25:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 196 n1: 196 u1: mmHg v2: 95 n2: 95 u2: mmHg st: NotStopd id: NBP t0: [22:35:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP t0: [22:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [20:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: NBP Mean t0: [22:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: NBP Mean t0: [22:25:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg st: NotStopd id: NBP Mean t0: [22:35:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: NBP Mean t0: [22:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [20:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:25:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:35:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:25:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:35:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:25:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:35:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:25:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:35:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:25:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:35:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:45:00 28/02/2016] 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 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:25:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:35:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [22:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [22:25:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [22:35:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [22:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [20:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:25:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:35:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:45:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [20:30:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.0344976 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [21:00:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.0344976 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [22:00:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.0344976 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [22:20:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.043 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [22:25:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.0344976 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [22:35:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.043 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [22:45:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.043 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Trach Insert Date t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 13.3333 n1: 13.3333 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 1:2 st: NotStopd id: Airway Size t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: MDI #2 (Puff/Drug) t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 4.8 n1: 4.8 u1: L/min st: NotStopd id: PEEP Set t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 270 n1: 270 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [23:15:00 28/02/2016] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:40:00 28/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:40:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:40:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:40:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:40:00 28/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:40:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [23:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rate t0: [23:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [23:40:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [23:40:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 171 n1: 171 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP t0: [23:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg v2: 39 n2: 39 u2: mmHg st: NotStopd id: NBP t0: [23:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP t0: [23:40:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: NBP Mean t0: [23:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: NBP Mean t0: [23:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg st: NotStopd id: NBP Mean t0: [23:40:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:40:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:40:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:40:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:40:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:40:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:40:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [23:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [23:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [23:40:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:20:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:30:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:40:00 28/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [20:00:00 28/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: TF Residual t0: [20:00:00 28/02/2016] el: 1 ai: 128 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 29/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [01:00:00 29/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 28/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [20:00:00 28/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 60 vu: ml id: GT Flush t0: [00:00:00 29/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 50 vu: ml id: Tube Feeding t0: [00:00:00 29/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [01:00:00 29/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [22:00:00 28/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [23:00:00 28/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [00:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [01:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [22:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [23:00:00 28/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Levophed-k t0: [00:00:00 29/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [01:00:00 29/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [23:00:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.05 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [23:20:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [23:30:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [23:40:00 28/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Total Hourly Output t0: [23:00:00 28/02/2016] el: 2 cg: RN cu: CCU pv: 60 cv: 60 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 28/02/2016] el: 2 cg: RN cu: CCU pv: 45 cv: 1080 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 28/02/2016] el: 2 cg: RN cu: CCU pv: 60 cv: 1265 ac: 24 ap: none re: 0 id: 24h Total Out t0: [23:00:00 28/02/2016] el: 2 cg: RN cu: CCU pv: 60 cv: 1265 ac: 24 ap: carryForward re: 0
id: Less Restrict Meas. t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Distraction st: NotStopd id: Less Restrict Meas. t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Distraction st: NotStopd id: Range of Motion t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Eye Opening t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Abdominal Assessment t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Abdominal Assessment t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: Activity t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Care t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position Change t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: RL Strength/Movement t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Therapeutic Bed t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pt./Family Informed t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Bowel Sounds t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Potassium t0: [00:21:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [00:21:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.7 n1: 3.7 rs: Final st: NotStopd
pi: 4565494 hi: 10949 t0: [03:00:00 29/02/2016] tf: [02:00:00 29/02/2016] mn: Potassium Chloride pt: Unit Dose st: Discontinued rt: PO fr: ONCE ds: 3 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4565516 hi: 10949 t0: [03:00:00 29/02/2016] tf: [02:00:00 01/03/2016] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 3 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 148 n1: 148 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 163 n1: 163 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: calprevflg t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 29/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [02:00:00 29/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [02:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Levophed-k t0: [02:00:00 29/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [03:00:00 29/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:30:00 29/02/2016] el: 3 cg: RN cu: CCU vo: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Less Restrict Meas. t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Distraction st: NotStopd id: Range of Motion t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Position Change t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Pt./Family Informed t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [02:00:00 29/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml
id: Alarms t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Compliance (40-60ml) t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 15.5556 n1: 15.5556 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 142.857 n1: 142.857 u1: units st: NotStopd id: FiO2 Set t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 1:2 st: NotStopd id: Airway Size t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: MDI #2 (Puff/Drug) t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 6.1 n1: 6.1 u1: L/min st: NotStopd id: PEEP Set t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: RSBI (<200) t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 142.857 n1: 142.857 u1: units st: NotStopd id: Resp Rate (Spont) t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spon RR (Mech.) t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 0.21 n1: 0.21 u1: L st: NotStopd id: Sputum Color/Consist t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 300 n1: 300 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:40:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: D5W 100.0ml t0: [03:00:00 29/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 29/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [03:00:00 29/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml
id: Heparin t0: [00:00:00 29/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [01:00:00 29/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [02:00:00 29/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [20:00:00 28/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [21:00:00 28/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [22:00:00 28/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [23:00:00 28/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 900 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:20:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:40:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:20:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:40:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:20:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:40:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:20:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [04:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:40:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:20:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [04:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:40:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:20:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:40:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: BPM st: NotStopd id: Heart Rate t0: [04:20:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [04:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [04:40:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:20:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [04:40:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: NBP t0: [04:20:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg v2: 34 n2: 34 u2: mmHg st: NotStopd id: NBP t0: [04:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 33 n2: 33 u2: mmHg st: NotStopd id: NBP t0: [04:40:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 170 n1: 170 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 166 n1: 166 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: NBP Mean t0: [04:20:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 43 n1: 43 u1: mmHg st: NotStopd id: NBP Mean t0: [04:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 46 n1: 46 u1: mmHg st: NotStopd id: NBP Mean t0: [04:40:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:20:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:40:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:20:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:40:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:20:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:40:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:20:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:40:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:20:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:40:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:20:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:40:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [04:20:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [04:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [04:40:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: calprevflg t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:20:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:40:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [04:00:00 29/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [04:20:00 29/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.155 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [04:30:00 29/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.155 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [04:40:00 29/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.155 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [05:00:00 29/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.155 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [06:00:00 29/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.155 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:00:00 29/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:20:00 29/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:30:00 29/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [04:40:00 29/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [05:00:00 29/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [06:00:00 29/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Distraction st: NotStopd id: Less Restrict Meas. t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Distraction st: NotStopd id: Range of Motion t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: HOB t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: Reason For Restraint t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#3 Cap Change t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: Therapeutic Bed t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [02:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Pt./Family Informed t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [06:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [04:00:00 29/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 50 vu: ml id: TF Residual t0: [00:00:00 29/02/2016] el: 1 ai: 128 cg: RN cu: CCU vo: 5 vu: ml id: TF Residual t0: [04:00:00 29/02/2016] el: 1 ai: 128 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 29/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 29/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 29/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [00:00:00 29/02/2016] el: 3 ai: 117 cg: RN cu: CCU vo: 9 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [01:00:00 29/02/2016] el: 3 ai: 117 cg: RN cu: CCU vo: 9 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [02:00:00 29/02/2016] el: 3 ai: 117 cg: RN cu: CCU vo: 9 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [05:00:00 29/02/2016] el: 3 ai: 117 cg: RN cu: CCU vo: 6 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [06:00:00 29/02/2016] el: 3 ai: 117 cg: RN cu: CCU vo: 6 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [20:00:00 28/02/2016] el: 3 ai: 117 cg: RN cu: CCU vo: 9 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [21:00:00 28/02/2016] el: 3 ai: 117 cg: RN cu: CCU vo: 9 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [22:00:00 28/02/2016] el: 3 ai: 117 cg: RN cu: CCU vo: 9 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [23:00:00 28/02/2016] el: 3 ai: 117 cg: RN cu: CCU vo: 9 vu: ml id: Tube Feeding t0: [04:00:00 29/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [05:00:00 29/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [06:00:00 29/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [00:00:00 29/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 12.0781 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [01:00:00 29/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 14.4938 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [02:00:00 29/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 14.4938 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [03:00:00 29/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 14.4938 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [04:00:00 29/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 14.4938 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [05:00:00 29/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 19.8081 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [06:00:00 29/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 22.4653 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [20:00:00 28/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 6 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [21:00:00 28/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 5.61616 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [22:00:00 28/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 5 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [23:00:00 28/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 5.61616 vu: ml id: Urine Out Foley t0: [03:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml id: Urine Out Foley t0: [04:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [05:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml id: Urine Out Foley t0: [06:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: IV Infusion In Total t0: [23:00:00 28/02/2016] el: 2 cg: RN cu: CCU pv: 24.6162 cv: 514.195 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 28/02/2016] el: 2 cg: RN cu: CCU pv: 69.6162 cv: 1944.19 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 28/02/2016] el: 2 cg: RN cu: CCU pv: 9.61616 cv: 679.195 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 28/02/2016] el: 2 cg: RN cu: CCU pv: 9.61616 cv: -388.956 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 28/02/2016] el: 2 cg: RN cu: CCU pv: 9.61616 cv: 9.61616 ac: 1 ap: none re: 0
id: GI Prophylaxis t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Doppler v2: Doppler st: NotStopd id: GI#1 Intub Site t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Eye Opening t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: GCS Total t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Abdominal Assessment t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: RL Strength/Movement t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Skin Color t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Trach Care t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Trach Care t0: [20:00:00 28/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: PTT t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 36.7 n1: 36.7 rs: Final st: NotStopd id: PTT(22-35) t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 36.7 n1: 36.7 rs: Final st: NotStopd
id: BUN t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Calcium t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 255 n1: 255 rs: Final st: NotStopd id: Magnesium t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.9 n1: 4.9 rs: Final st: NotStopd id: Sodium t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd id: BUN (6-20) t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 8 n1: 8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 255 n1: 255 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 2 n1: 2 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 4.9 n1: 4.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 136 n1: 136 rs: Final st: NotStopd
id: Pain Present t0: [00:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [07:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [07:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [07:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [07:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [07:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 170 n1: 170 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [07:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 29/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [07:00:00 29/02/2016] el: 3 ai: 117 cg: RN cu: CCU vo: 6 vu: ml id: Tube Feeding t0: [07:00:00 29/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [07:00:00 29/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 22.4653 vu: ml
id: Levophed-k t0: [07:00:00 29/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.155 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [07:00:00 29/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: WBC (4-11,000) t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.5 n1: 14.5 rs: Final st: NotStopd id: WBC t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.5 n1: 14.5 rs: Final st: NotStopd id: Hematocrit t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 30.9 n1: 30.9 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 10 n1: 10 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 515 n1: 515 rs: Final st: NotStopd id: RBC t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 3.32 n1: 3.32 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:09:00 29/02/2016] el: 0 cg: 1663 cu: CCU v1: 14.5 n1: 14.5 rs: Final st: NotStopd
id: Trach Insert Date t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 15.5556 n1: 15.5556 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 1:2.5 st: NotStopd id: Airway Size t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Pressure Support t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 288 n1: 288 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Pain Present t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 29/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Heart Rate t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Abdominal Assessment t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Obese st: NotStopd id: LL Strength/Movement t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 154 n1: 154 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Oral Cavity t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position Change t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: INV#3 Cap Change t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: Urine Color/Appear t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 29/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [08:00:00 29/02/2016] el: 3 ai: 117 cg: RN cu: CCU vo: 6 vu: ml id: Tube Feeding t0: [08:00:00 29/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [08:00:00 29/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 22.4653 vu: ml id: Urine Out Foley t0: [08:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Levophed-k t0: [08:00:00 29/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.155 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 29/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [09:00:00 29/02/2016] el: 3 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: Gastric Meds t0: [08:00:00 29/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 120 vu: ml id: Tube Feeding t0: [09:00:00 29/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [09:00:00 29/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 22.4653 vu: ml
id: Levophed-k t0: [09:00:00 29/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.155 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [08:00:00 29/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: PO/Gastric In Total t0: [23:00:00 29/02/2016] el: 2 cg: RN cu: CCU cv: 235 ac: 24 ap: none re: 0
pi: 4566003 hi: 10949 t0: [10:00:00 29/02/2016] tf: [20:00:00 07/03/2016] mn: Lansoprazole Oral Disintegrating Tab pt: Unit Dose st: Discontinued via patient discharge rt: G TUBE fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [07:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: Heart Rate t0: [08:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Activity t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: NBP t0: [07:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 171 n1: 171 u1: mmHg v2: 93 n2: 93 u2: mmHg st: NotStopd id: NBP t0: [08:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: NBP Mean t0: [07:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: mmHg st: NotStopd id: NBP Mean t0: [08:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [08:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Skin Care t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [07:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [08:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Back Care t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [07:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [07:30:00 29/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.155 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [08:30:00 29/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.155 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [07:30:00 29/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 600 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [08:30:00 29/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: Precautions t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: calprevflg t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Cooperative st: NotStopd
id: Heparin t0: [09:00:00 29/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:00:00 29/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Mean Airway Pressure t0: [10:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [10:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: L/min st: NotStopd id: PEEP Set t0: [10:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Pressure Support t0: [10:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: . st: NotStopd id: Resp Rate (Total) t0: [10:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [10:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Spont) t0: [10:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 275 n1: 275 u1: ml/B st: NotStopd id: Ventilator Type t0: [10:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Arterial BP t0: [10:00:00 29/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Arterial BP Mean t0: [10:00:00 29/02/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Service Type t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Activity t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: NBP t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 155 n1: 155 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 157 n1: 157 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP Mean t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: Assistance Device t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 26 n2: 26 st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: INV#3 Cap Change t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Tubing Change t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: Therapeutic Bed t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: calprevflg t0: [10:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [10:00:00 29/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.124191 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [10:30:00 29/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.124191 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Levophed-k t0: [11:00:00 29/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.110392 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [10:30:00 29/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:00:00 29/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 171 n1: 171 u1: mmHg v2: 70 n2: 70 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [12:00:00 29/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.0827943 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Less Restrict Meas. t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [11:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Daily Wake Up t0: [12:00:00 29/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [11:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [11:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GU Cath Insert Date t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Heart Rate t0: [11:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: LL Strength/Movement t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [11:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 176 n1: 176 u1: mmHg v2: 93 n2: 93 u2: mmHg st: NotStopd id: NBP Mean t0: [11:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position Change t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [11:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [11:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [11:30:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [11:00:00 29/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 250 vu: ml id: .9% Normal Saline 1000.0ml t0: [10:00:00 29/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [11:00:00 29/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 29/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [10:00:00 29/02/2016] el: 3 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [11:00:00 29/02/2016] el: 3 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: D5W 250.0ml + 25000Uhr Heparin t0: [12:00:00 29/02/2016] el: 3 ai: 117 cg: RN cu: CCU vo: 8 vu: ml id: Tube Feeding t0: [10:00:00 29/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [11:00:00 29/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [12:00:00 29/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [10:00:00 29/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 22.4653 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [11:00:00 29/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 18 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [12:00:00 29/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 16 vu: ml id: Urine Out Foley t0: [11:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 180 vu: ml
id: Levophed-k t0: [11:30:00 29/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.110392 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Heparin t0: [11:30:00 29/02/2016] el: 3 cg: RN cu: CCU vo: 0 do: 800 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip
id: IV Infusion In Total t0: [23:00:00 29/02/2016] el: 2 cg: RN cu: CCU pv: 10 cv: 1133.19 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 29/02/2016] el: 2 cg: RN cu: CCU pv: 10 cv: 2358.19 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 29/02/2016] el: 2 cg: RN cu: CCU pv: 30 cv: 30 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 29/02/2016] el: 2 cg: RN cu: CCU pv: 0 cv: 990 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 29/02/2016] el: 2 cg: RN cu: CCU pv: 30 cv: 1215 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 29/02/2016] el: 2 cg: RN cu: CCU pv: -20 cv: 1143.19 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 29/02/2016] el: 2 cg: RN cu: CCU pv: -20 cv: 754.232 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 29/02/2016] el: 2 cg: RN cu: CCU pv: -20 cv: -20 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 29/02/2016] el: 2 cg: RN cu: CCU pv: 30 cv: 1215 ac: 24 ap: none re: 0
id: Heparin t0: [12:00:00 29/02/2016] el: 3 cg: RN cu: CCU vo: 0 du: Uhr so: D5W sv: 250 su: ml rt: IV Drip st: Stopped
id: Trach Insert Date t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 8.1 n1: 8.1 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Tank A psi. t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 250 n1: 250 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [12:45:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:45:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:45:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [12:45:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [12:45:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rate t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [12:45:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 186 n1: 186 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 185 n1: 185 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [12:45:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Precautions t0: [12:45:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:45:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:45:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:45:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:45:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:45:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [12:45:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [12:45:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [13:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [12:45:00 29/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0.0827943 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 25000Uhr Heparin t0: [14:00:00 29/02/2016] el: 3 ai: 117 cg: -1 cu: CCU vo: 0 st: D/C'd
pi: 4566950 hi: 10949 t0: [15:00:00 29/02/2016] tf: [10:00:00 01/03/2016] mn: Meropenem pt: IV Piggyback st: Discontinued rt: IV fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: NBP t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 142 n1: 142 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Assistance Device t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: calprevflg t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [13:00:00 29/02/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [13:00:00 29/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 29/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [13:00:00 29/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [14:00:00 29/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [13:00:00 29/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 12 vu: ml id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [14:00:00 29/02/2016] el: 4 ai: 210 cg: RN cu: CCU vo: 12 vu: ml
id: Levophed-k t0: [14:00:00 29/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: Activity t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Dangle st: NotStopd id: Activity Tolerance t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Assistance Device t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd
id: Service Type t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 159 n1: 159 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [15:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Levophed-k t0: [15:00:00 29/02/2016] el: 4 cg: RN cu: CCU vo: 0 do: 0 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip
id: D5W 250.0ml + 8mcgkgmin Levophed-k t0: [15:01:00 29/02/2016] el: 4 ai: 210 cg: -1 cu: CCU vo: 0 st: D/C'd
id: Urine Out Foley t0: [13:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Trach Insert Date t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [12:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Inspired Gas Temp t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 7.9 n1: 7.9 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 240 n1: 240 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Less Restrict Meas. t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Less Restrict Meas. t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GU Cath Insert Date t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Heart Rate t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Imp Skin Cleanse #1 t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: Imp Skin Cleanse #2 t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: ImpSkin Character #1 t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Blister st: NotStopd id: ImpSkin Character #2 t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Blister st: NotStopd id: ImpSkin Drain/Amt#1 t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Serous v2: Small st: NotStopd id: ImpSkin Drain/Amt#2 t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Moderate st: NotStopd id: ImpSkin Treatment #2 t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Wound Gel st: NotStopd id: ImpSkin Wound Base#1 t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: LL Strength/Movement t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Oral Cavity t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Position Change t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 195 n2: 195 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Risk For Falling st: NotStopd id: Reason For Restraint t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraint Location t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Temp. Site t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 29/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [17:00:00 29/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [16:00:00 29/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Tube Feeding t0: [17:00:00 29/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [16:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: Urine Out Foley t0: [17:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Trach Care t0: [12:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Trach Care t0: [18:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Compliance (40-60ml) t0: [18:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 16.4706 n1: 16.4706 u1: ml/cmH st: NotStopd id: Airway Size t0: [18:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [18:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [18:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Mean Airway Pressure t0: [18:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [18:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: L/min st: NotStopd id: PEEP Set t0: [18:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Peak Insp. Pressure t0: [18:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: cmH2O st: NotStopd id: Pressure Support t0: [18:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [18:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [18:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [18:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Sensitivity-Vent t0: [18:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [18:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [18:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [18:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [18:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 253 n1: 253 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [18:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Ventilator Mode t0: [18:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [18:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [18:00:00 29/02/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Trach Insert Date t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 14.7368 n1: 14.7368 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: No st: NotStopd id: Cuff Pressure-Airway t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: FiO2 Set t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: MDI #2 (Puff/Drug) t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: Mean Airway Pressure t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 6.8 n1: 6.8 u1: L/min st: NotStopd id: PEEP Set t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 260 n1: 260 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:32:00 29/02/2016] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: BPM st: NotStopd id: NBP t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 45 n1: 45 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 37.6111 n1: 37.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 99.7 n1: 99.7 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 29/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Tube Feeding t0: [20:00:00 29/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 135 vu: ml id: Urine Out Foley t0: [20:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Service Type t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: NBP t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [21:00:00 29/02/2016] el: 1 ai: 128 cg: RN cu: CCU vo: 5 vu: ml id: .9% Normal Saline 1000.0ml t0: [21:00:00 29/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [21:00:00 29/02/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 40 vu: ml id: GT Flush t0: [21:00:00 29/02/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 25 vu: ml id: Tube Feeding t0: [21:00:00 29/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml st: Stopped
pi: 4568697 hi: 10949 t0: [23:00:00 29/02/2016] tf: [22:00:00 01/03/2016] 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: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: NBP t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 131 n1: 131 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 29/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml
id: Service Type t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: BPM st: NotStopd id: NBP t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: SpO2 t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 01/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 29/02/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [00:00:00 01/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [23:00:00 29/02/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 0 vu: ml nb: 1 id: Urine Out Foley t0: [00:00:00 01/03/2016] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [22:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [23:00:00 29/02/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Trach Insert Date t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 10.3704 n1: 10.3704 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Airway Size t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 36.4 n1: 36.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 6.5 n1: 6.5 u1: L/min st: NotStopd id: PEEP Set t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 32 n1: 32 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 290 n1: 290 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:16:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Pain Present t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Pain Assess Method t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Non-verbal cues st: NotStopd id: Service Type t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 01/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Daily Wake Up t0: [20:00:00 29/02/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: NBP t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 152 n1: 152 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: NBP t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 138 n1: 138 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thin st: NotStopd id: Sputum Source/Amt t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Temp. Site t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: calprevflg t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 01/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [01:00:00 01/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [01:00:00 01/03/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: GI Prophylaxis t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: H2 Blocker st: NotStopd id: GI Prophylaxis t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: H2 Blocker st: NotStopd id: Diet Type t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Diet Type t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Intub Site t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Eye Opening t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: Follows Commands t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GCS Total t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Guaiac/ph t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: GI Guaiac/ph t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: GI Intub #1/Site t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI Intub #1/Site t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Cath Insert Date t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: GU Catheter Size t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Abdominal Assessment t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Abdominal Assessment t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LL Strength/Movement t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LL Strength/Movement t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LLL Lung Sounds t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LU Strength/Movement t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LU Strength/Movement t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Motor Response t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Orientation t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pupil Response R/L t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RL Strength/Movement t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RLL Lung Sounds t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RU Strength/Movement t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Spontaneous Movement t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Stool Guaiac t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Stool Guaiac t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Urine Color/Appear t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Bowel Sounds t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Handout t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Handout t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Education Learner t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Learner t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Method t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Readiness t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Response t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #1 t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #2 t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Education Topic #2 t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: HOB t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3 Type/Site t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3InsertDate t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3SiteAppear t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU st: NotStopd id: ImpSkin Treatment #2 t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Oral Care t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 26 n2: 26 st: NotStopd id: INV#3 Dsg Change t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 26 n2: 26 st: NotStopd id: Reason For Restraint t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Color t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Color t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Integrity t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Skin Temp/Condition t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Support Systems t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Cap Change t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Tubing Change t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: Therapeutic Bed t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Back Care t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Behavior t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Behavior t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Pt./Family Informed t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Activity t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Frict/Shear t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Mobility t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Moisture t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Nutrition t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden Score t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden SensoryPercep t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Service Type t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [01:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [20:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [22:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 154 n1: 154 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 01/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [02:00:00 01/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml
id: Urine Out Foley t0: [02:00:00 01/03/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Service Type t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: NBP t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 157 n1: 157 u1: mmHg v2: 83 n2: 83 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 63 n2: 63 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 26 n2: 26 st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Procedures t0: [21:00:00 29/02/2016] el: 0 cg: RN cu: CCU v1: EKG st: NotStopd id: Respiratory Rate t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: INV#3 Cap Change t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: Therapeutic Bed t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: calprevflg t0: [03:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 01/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 01/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [03:00:00 01/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [04:00:00 01/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml
pi: 4569314 hi: 10949 t0: [08:00:00 01/03/2016] tf: [20:00:00 07/03/2016] mn: Heparin pt: Unit Dose st: Discontinued via patient discharge rt: SC fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Service Type t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: BED BATH t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: DONE id: HOB t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Activity t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: NBP t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Position t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU st: NotStopd id: Position t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Skin Care t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Temp. Site t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 96.8 n1: 96.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Turn t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Back Care t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 01/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [05:00:00 01/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [05:00:00 01/03/2016] el: 1 cg: RN cu: CCU vo: 240 vu: ml
id: Pain Present t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [05:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Daily Wake Up t0: [05:00:00 01/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Sputum Color/Consist t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd
id: Compliance (40-60ml) t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 8.48485 n1: 8.48485 u1: ml/cmH st: NotStopd id: GI Prophylaxis t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: H2 Blocker st: NotStopd id: Diet Type t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Eye Opening t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: FiO2 Set t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Follows Commands t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Guaiac/ph t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: GI Intub #1/Site t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: High Insp. Pressure t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Abdominal Assessment t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Airway Size t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: LL Strength/Movement t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Low Exhaled Min Vol t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 7.4 n1: 7.4 u1: L/min st: NotStopd id: Motor Response t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: Oral Cavity t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: PEEP Set t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 38 n1: 38 u1: cmH2O st: NotStopd id: Pupil Response R/L t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Resp Rate (Spont) t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Pattern t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate Set t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 16 n1: 16 st: NotStopd id: Sensitivity-Vent t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spon. Vt (L) (Mech.) t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 0.13 n1: 0.13 u1: L st: NotStopd id: Spontaneous Movement t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Sputum Color/Consist t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Blood Tinged v2: Thick st: NotStopd id: Sputum Source/Amt t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Stool Guaiac t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: Tidal Volume (Obser) t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 270 n1: 270 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Urine Color/Appear t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Ventilator Mode t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Verbal Response t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Waveform-Vent t0: [05:10:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd id: Bowel Sounds t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Imp Skin Cleanse #1 t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Imp Skin Cleanse #2 t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Small st: NotStopd id: ImpSkin Drain/Amt#2 t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Small st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: ImpSkin Wound Base#2 t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Position Change t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Support Systems t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Behavior t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Anxious st: NotStopd id: Pt./Family Informed t0: [02:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: WBC (4-11,000) t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 13.5 n1: 13.5 rs: Final st: NotStopd id: WBC t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 13.5 n1: 13.5 rs: Final st: NotStopd id: Hematocrit t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 24.8 n1: 24.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 416 n1: 416 rs: Final st: NotStopd id: RBC t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.71 n1: 2.71 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 13.5 n1: 13.5 rs: Final st: NotStopd
id: BUN t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd id: Calcium t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 rs: Final st: NotStopd id: Magnesium t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd id: BUN (6-20) t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 24 n1: 24 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 8.3 n1: 8.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 0.7 n1: 0.7 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 99 n1: 99 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.1 n1: 2.1 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.4 n1: 2.4 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:15:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 140 n1: 140 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 170 n1: 170 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 01/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [06:00:00 01/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml
id: Hematocrit t0: [07:02:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 u1: % rs: Final st: NotStopd
id: Trach Insert Date t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 10.7692 n1: 10.7692 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 1:2.2 st: NotStopd id: Airway Size t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 5.6 n1: 5.6 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Frothy st: NotStopd id: Sputum Source/Amt t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 263 n1: 263 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [08:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 01/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: H2 Blocker v2: H2 Blocker st: NotStopd id: Risk for Falls t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Guaiac/ph t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: GI Intub #1/Site t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LL Strength/Movement t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 167 n1: 167 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 26 n2: 26 st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [07:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [09:00:00 01/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Gastric Meds t0: [08:00:00 01/03/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 100 vu: ml id: Tube Feeding t0: [09:00:00 01/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 135 vu: ml id: Urine Out Foley t0: [09:00:00 01/03/2016] el: 1 cg: RN cu: CCU vo: 180 vu: ml
id: PO/Gastric In Total t0: [23:00:00 01/03/2016] el: 2 cg: RN cu: CCU cv: 130 ac: 24 ap: none re: 0
id: Service Type t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 156 n1: 156 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: PT t0: [07:02:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 12.7 n1: 12.7 rs: Final st: NotStopd id: INR t0: [07:02:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PTT t0: [07:02:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 28.1 n1: 28.1 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [07:02:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: PT(11-13.5) t0: [07:02:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 12.7 n1: 12.7 rs: Final st: NotStopd id: PTT(22-35) t0: [07:02:00 01/03/2016] el: 0 cg: 1663 cu: CCU v1: 28.1 n1: 28.1 rs: Final st: NotStopd
pi: 4569942 hi: 10949 t0: [10:00:00 01/03/2016] tf: [09:00:00 03/03/2016] mn: Furosemide pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4569943 hi: 10949 t0: [20:00:00 01/03/2016] tf: [00:00:00 02/03/2016] mn: Metoprolol pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: BID ds: 08, 20 dn: 2 di: Ongoing xv: 36 xu: Hours
id: Pain Present t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Trach Insert Date t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Service Type t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [10:00:00 01/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: GI Guaiac/ph t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: HOB t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Activity t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Airway Size t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Level of Conscious t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: NBP t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 61 n2: 61 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Position t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Side Rails t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Stool Color/Consist t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Loose st: NotStopd id: Stool Guaiac t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Positive st: NotStopd id: Support Systems t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Trach Cuff/Fenestra t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: #7 st: NotStopd id: Tracheostomy Type t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Portex st: NotStopd id: Turn t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Ventilator Type t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: calprevflg t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 01/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [11:00:00 01/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [11:00:00 01/03/2016] el: 1 cg: RN cu: CCU vo: 20 vu: ml
id: IV Infusion In Total t0: [23:00:00 01/03/2016] el: 2 cg: RN cu: CCU cv: 230 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 01/03/2016] el: 2 cg: RN cu: CCU cv: 1395 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 01/03/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 01/03/2016] el: 2 cg: RN cu: CCU cv: 1035 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 01/03/2016] el: 2 cg: RN cu: CCU cv: 1177 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 01/03/2016] el: 2 cg: RN cu: CCU cv: 218 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 01/03/2016] el: 2 cg: RN cu: CCU cv: 972.232 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 01/03/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 01/03/2016] el: 2 cg: RN cu: CCU cv: 1177 ac: 24 ap: carryForward re: 0
id: Service Type t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: calprevflg t0: [11:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Trach Insert Date t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 9.65517 n1: 9.65517 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 1:2.2 st: NotStopd id: Airway Size t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 36.2 n1: 36.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 6.4 n1: 6.4 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 34 n1: 34 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: cmH2O st: NotStopd id: SpO2 t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Frothy st: NotStopd id: Sputum Source/Amt t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 311 n1: 311 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Size t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Type t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Cuff Leak t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: Trach Cuff/Fenestra t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Tracheostomy Cuff t0: [11:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd
id: Pain Present t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 01/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: H2 Blocker v2: H2 Blocker st: NotStopd id: Risk for Falls t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Guaiac/ph t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Not Applicable st: NotStopd id: GI Intub #1/Site t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Heart Rate t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LLL Lung Sounds t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LUL Lung Sounds t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 5 Localizes Pain st: NotStopd id: NBP t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg st: NotStopd id: Oral Cavity t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Precautions t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 26 n2: 26 st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 01/03/2016] 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 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RUL Lung Sounds t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: INV#3 Cap Change t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: Urine Source t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Pain Present t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Trach Insert Date t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Service Type t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [14:00:00 01/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Barrier t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: Education Readiness t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #1 t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #1 t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #2 t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Disease Process st: NotStopd id: Family Communication t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Family Communication t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: HOB t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity Tolerance t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Imp Skin Cleanse #1 t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Imp Skin Cleanse #2 t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: ImpSkin Character #1 t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Small st: NotStopd id: ImpSkin Drain/Amt#2 t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Small st: NotStopd id: ImpSkin Treatment #1 t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Treatment #2 t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Black st: NotStopd id: ImpSkin Wound Base#2 t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#1 t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Airway Size t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Level of Conscious t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: NBP t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Position t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Assistance Device t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 26 n2: 26 st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Intact st: NotStopd id: Skin Temp/Condition t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Support Systems t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Tubing Change t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Trach Care t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Trach Cuff/Fenestra t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: #7 st: NotStopd id: Tracheostomy Type t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Portex st: NotStopd id: Turn t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Ventilator Type t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Drager st: NotStopd id: calprevflg t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [13:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Moist st: NotStopd id: Braden Nutrition t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [14:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 01/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [14:00:00 01/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [13:00:00 01/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Tube Feeding t0: [14:00:00 01/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [13:00:00 01/03/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [14:00:00 01/03/2016] el: 1 cg: RN cu: CCU vo: 82 vu: ml
id: .9% Normal Saline 1000.0ml t0: [15:00:00 01/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [15:00:00 01/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [15:00:00 01/03/2016] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: Compliance (40-60ml) t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 1:2.2 st: NotStopd id: Airway Size t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 6.5 n1: 6.5 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: White v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 284 n1: 284 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Ventilator Mode t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [16:00:00 01/03/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Pain Present t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 01/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: H2 Blocker v2: H2 Blocker st: NotStopd id: Risk for Falls t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #1 t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: BED BATH t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: done id: Follows Commands t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GI Guaiac/ph t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: GI Intub #1/Site t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LL Strength/Movement t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LU Strength/Movement t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 164 n1: 164 u1: mmHg v2: 79 n2: 79 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg st: NotStopd id: Oral Care t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Position t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 26 n2: 26 st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RU Strength/Movement t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Side Rails t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Loose st: NotStopd id: Stool Guaiac t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Support Systems t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: Therapeutic Bed t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: Back Care t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [15:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 01/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [16:00:00 01/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml
id: Service Type t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Level of Conscious t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [19:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: NBP t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 162 n1: 162 u1: mmHg v2: 82 n2: 82 u2: mmHg st: NotStopd id: NBP t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 73 n2: 73 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [17:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 01/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [18:00:00 01/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [18:00:00 01/03/2016] el: 1 cg: RN cu: CCU vo: 120 vu: ml
pi: 4572135 hi: 10949 t0: [20:00:00 01/03/2016] tf: [19:00:00 02/03/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 20 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Trach Insert Date t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 11.6667 n1: 11.6667 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 1:2.2 st: NotStopd id: Airway Size t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 5.8 n1: 5.8 u1: L/min st: NotStopd id: PEEP Set t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 290 n1: 290 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [19:32:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Family at Bedsid st: NotStopd id: Pain Present t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 01/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Education Handout t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Patient/Family st: NotStopd id: Education Method t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Education Readiness t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Understands st: NotStopd id: Education Topic #1 t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #2 t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Fam Talked to RN st: NotStopd id: Follows Commands t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: points st: NotStopd id: GI Guaiac/ph t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: GI Intub #1/Site t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LL Strength/Movement t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: LLL Lung Sounds t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LU Strength/Movement t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Motor Response t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Pain Location t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 26 n2: 26 st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 mm v2: 2 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RU Strength/Movement t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: Therapeutic Bed t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 5 Oriented st: NotStopd id: calprevflg t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 01/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [20:00:00 01/03/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 30 vu: ml id: Tube Feeding t0: [20:00:00 01/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Stool Out Stool t0: [20:00:00 01/03/2016] el: 1 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [20:00:00 01/03/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Service Type t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Frequency t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GU Cath Insert Date t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LLL Lung Sounds t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Oral Care t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 26 n2: 26 st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 01/03/2016] 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 01/03/2016] 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 01/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Side Rails t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Color t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Support Systems t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Tubing Change t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 37.7778 n1: 37.7778 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Source t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [21:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Behavior t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Anxious st: NotStopd id: Pt./Family Informed t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 01/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [22:00:00 01/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Stool Out Stool t0: [22:00:00 01/03/2016] el: 1 cg: RN cu: CCU vu: ml es: Small id: Urine Out Foley t0: [22:00:00 01/03/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Stool Out Total t0: [23:00:00 01/03/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0
id: Service Type t0: [23:15:00 01/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:15:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:15:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:15:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:15:00 01/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:15:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:15:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:15:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP Mean t0: [23:15:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: Precautions t0: [23:15:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:15:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:15:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:15:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:15:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:15:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [23:15:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [23:15:00 01/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Trach Insert Date t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 12.1739 n1: 12.1739 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: No st: NotStopd id: Cuff Pressure-Airway t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: FiO2 Set t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 1:2.2 st: NotStopd id: Airway Size t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 36.6 n1: 36.6 u1: Deg. C st: NotStopd id: Intubation Date t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 5.1 n1: 5.1 u1: L/min st: NotStopd id: PEEP Set t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 28 n1: 28 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 260 n1: 260 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [23:35:00 01/03/2016] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
pi: 4572916 hi: 10949 t0: [22:00:00 02/03/2016] tf: [20:00:00 06/03/2016] mn: Midodrine pt: Unit Dose st: Inactive (Due to a change order) rt: PO fr: QHS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours pi: 4572917 hi: 10949 t0: [10:00:00 02/03/2016] tf: [20:00:00 07/03/2016] mn: Metoprolol 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: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [00:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [00:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [00:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [00:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [00:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [00:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [00:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: NBP Mean t0: [00:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [00:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [00:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [00:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 02/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [00:00:00 02/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml
id: Pain Present t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 02/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Heart Rhythm t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Impaired Skin Site#1 t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Pain Location t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Precautions t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 02/03/2016] 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 02/03/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Side Rails t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: calprevflg t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Pt./Family Informed t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Urine Out Foley t0: [00:00:00 02/03/2016] el: 1 cg: RN cu: CCU vo: 225 vu: ml
id: NBP t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 132 n1: 132 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Hematocrit t0: [00:21:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 26.3 n1: 26.3 u1: % rs: Final st: NotStopd
pi: 4572999 hi: 10949 t0: [02:00:00 02/03/2016] tf: [01:00:00 03/03/2016] mn: Haloperidol pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 2 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
pi: 4573039 hi: 10949 t0: [03:00:00 02/03/2016] tf: [02:00:00 03/03/2016] mn: Morphine Sulfate pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 3 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Health Care Proxy t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rhythm t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 145 n1: 145 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 02/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [02:00:00 02/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml
id: Urine Out Foley t0: [02:00:00 02/03/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Eye Opening t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: Level of Conscious t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Verbal Response t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd
id: Service Type t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:35:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:35:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:35:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:35:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rate t0: [03:35:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [03:35:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Activity t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: NBP t0: [03:35:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 185 n1: 185 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 74 n1: 74 u1: mmHg st: NotStopd id: Oral Care t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [03:35:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:35:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:35:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:35:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:35:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:35:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Skin Care t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: % st: NotStopd id: SpO2 t0: [03:35:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Back Care t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:35:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Compliance (40-60ml) t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 14.7368 n1: 14.7368 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 126.316 n1: 126.316 u1: units st: NotStopd id: FiO2 Set t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 1:2.2 st: NotStopd id: Airway Size t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 5.1 n1: 5.1 u1: L/min st: NotStopd id: PEEP Set t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: RSBI (<200) t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 126.316 n1: 126.316 u1: units st: NotStopd id: Resp Rate (Spont) t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spon RR (Mech.) t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 0.19 n1: 0.19 u1: L st: NotStopd id: Sputum Color/Consist t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 270 n1: 270 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Ventilator Mode t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [03:26:00 02/03/2016] el: 0 cg: RRts cu: CCU v1: RAMP st: NotStopd
id: GI Prophylaxis t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: H2 Blocker st: NotStopd id: Diet Type t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Diff to Palpate v2: Diff to Palpate st: NotStopd id: GI#1 Intub Site t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Education Topic #1 t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: GI Guaiac/ph t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: GI Intub #1/Site t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Imp Skin Cleanse #1 t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Imp Skin Cleanse #1 t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: ImpSkin Character #1 t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Scant st: NotStopd id: ImpSkin Drain/Amt#1 t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Scant st: NotStopd id: ImpSkin Wound Base#1 t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Black st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LLL Lung Sounds t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LUL Lung Sounds t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Oral Cavity t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 26 n2: 26 st: NotStopd id: RLL Lung Sounds t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Side Rails t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Support Systems t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: Urine Color/Appear t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [23:00:00 01/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Behavior t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sedated st: NotStopd id: Pt./Family Informed t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [03:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 02/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 02/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: GT Flush t0: [00:00:00 02/03/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 50 vu: ml id: Tube Feeding t0: [03:00:00 02/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml nb: 1 id: Tube Feeding t0: [04:00:00 02/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [03:00:00 02/03/2016] el: 1 cg: RN cu: CCU vo: 140 vu: ml id: Gastric Oral Gastric t0: [00:00:00 02/03/2016] el: 1 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Oral Gastric t0: [04:00:00 02/03/2016] el: 1 cg: RN cu: CCU vo: 5 vu: ml id: Gastric Oral Gastric t0: [20:00:00 01/03/2016] el: 1 cg: RN cu: CCU vo: 0 vu: ml
id: Gastric Out Total t0: [23:00:00 01/03/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: none re: 0 id: Gastric Out Total t0: [23:00:00 02/03/2016] el: 2 cg: RN cu: CCU cv: 15 ac: 24 ap: none re: 0
id: WBC (4-11,000) t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: WBC t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd id: Hematocrit t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 26.4 n1: 26.4 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 415 n1: 415 rs: Final st: NotStopd id: RBC t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.87 n1: 2.87 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 16 n1: 16 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Less Restrict Meas. t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Medicated st: NotStopd id: Range of Motion t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Riker-SAS Scale t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: GI Prophylaxis t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: PAC's st: NotStopd id: Ectopy Type t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Barrier t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Commun Barrier st: NotStopd id: Education Barrier t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Commun Barrier st: NotStopd id: Education Learner t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Learner t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: GI#1 Intub Site t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Education Readiness t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Readiness t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Health Care Proxy t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #1 t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #2 t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: ICU Environment st: NotStopd id: Education Topic #2 t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Guaiac/ph t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: GI Intub #1/Site t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rate t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 135 n1: 135 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Fair st: NotStopd id: Impaired Skin Site#1 t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LL Strength/Movement t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LU Strength/Movement t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 203 n1: 203 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 178 n1: 178 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 178 n1: 178 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Oral Care t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position t0: [03:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RU Strength/Movement t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Restraint Location t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [01:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spontaneous Movement t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Temp. Site t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature C (calc) t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 36.1667 n1: 36.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [02:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Temperature F t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 97.1 n1: 97.1 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Urine Color/Appear t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [04:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Behavior t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Pt./Family Informed t0: [05:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [06:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 02/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: GT Flush t0: [06:00:00 02/03/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 50 vu: ml id: Tube Feeding t0: [06:00:00 02/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Stool Out Stool t0: [02:00:00 02/03/2016] el: 1 cg: RN cu: CCU vo: 0 vu: ml id: Stool Out Stool t0: [06:00:00 02/03/2016] el: 1 cg: RN cu: CCU vo: 0 vu: ml id: Urine Out Foley t0: [04:00:00 02/03/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [05:00:00 02/03/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml id: Urine Out Foley t0: [06:00:00 02/03/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Stool Out Total t0: [23:00:00 02/03/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: none re: 0
id: PT t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 14.1 n1: 14.1 rs: Final st: NotStopd id: INR t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PTT t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 28.4 n1: 28.4 rs: Final st: NotStopd id: INR (2-4 ref. range) t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 1.2 n1: 1.2 rs: Final st: NotStopd id: PT(11-13.5) t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 14.1 n1: 14.1 rs: Final st: NotStopd id: PTT(22-35) t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 28.4 n1: 28.4 rs: Final st: NotStopd
id: BUN t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Calcium t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 8.7 n1: 8.7 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 125 n1: 125 rs: Final st: NotStopd id: Magnesium t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd id: BUN (6-20) t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 8.7 n1: 8.7 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 27 n1: 27 rs: Final st: NotStopd id: Chloride (100-112) t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 125 n1: 125 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [04:38:00 02/03/2016] el: 0 cg: 1663 cu: CCU v1: 141 n1: 141 rs: Final st: NotStopd
pi: 4573442 hi: 10949 t0: [08:00:00 02/03/2016] tf: [10:00:00 02/03/2016] mn: Morphine Sulfate pt: Unit Dose st: Discontinued rt: IV fr: Q4H:PRN di: Ongoing xv: 36 xu: Hours pi: 4573494 hi: 10949 t0: [08:00:00 02/03/2016] tf: [07:00:00 03/03/2016] 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: Service Type t0: [07:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [07:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [07:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rhythm t0: [07:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [07:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 173 n1: 173 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [07:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [07:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [07:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [07:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Trach Insert Date t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 1:2.2 st: NotStopd id: Airway Size t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 5.5 n1: 5.5 u1: L/min st: NotStopd id: PEEP Set t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Pressure Support t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 290 n1: 290 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Cuff Pressure-Airway t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd
id: Sputum Color/Consist t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd
id: Service Type t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 175 n1: 175 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Precautions t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: calprevflg t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 02/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: GT Flush t0: [08:00:00 02/03/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 200 vu: ml id: Tube Feeding t0: [08:00:00 02/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [08:00:00 02/03/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: PO/Gastric In Total t0: [23:00:00 02/03/2016] el: 2 cg: RN cu: CCU cv: 300 ac: 24 ap: none re: 0
pi: 4573835 hi: 10949 t0: [11:00:00 02/03/2016] tf: [20:00:00 07/03/2016] mn: Acetaminophen (Liquid) pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q4-6H:PRN di: Ongoing xv: 36 xu: Hours pi: 4573836 hi: 10949 t0: [11:00:00 02/03/2016] tf: [20:00:00 07/03/2016] mn: Ibuprofen Suspension pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: Q8H:PRN di: Ongoing xv: 36 xu: Hours pi: 4573837 hi: 10949 t0: [11:00:00 02/03/2016] tf: [10:00:00 03/03/2016] mn: Alteplase (Catheter Clearance) pt: Unit Dose st: Expired rt: IV fr: ONCE MR1 ds: 11 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Trach Insert Date t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 10.7692 n1: 10.7692 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: I:E Ratio t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 1:2.2 st: NotStopd id: Airway Size t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 5.4 n1: 5.4 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 31 n1: 31 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Pressure Support t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 1 n1: 1 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 260 n1: 260 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [11:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:45:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:45:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:45:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:45:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:45:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:45:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rate t0: [10:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: BPM st: NotStopd id: Heart Rate t0: [10:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [11:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [11:45:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [10:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:45:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [10:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP t0: [11:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP t0: [11:45:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: NBP Mean t0: [10:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: mmHg st: NotStopd id: NBP Mean t0: [11:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: NBP Mean t0: [11:45:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:45:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:45:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:45:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:45:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 02/03/2016] 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 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:45:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:45:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [10:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [11:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [10:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:30:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:15:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:45:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 02/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Pain Location t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Temp. Site t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 36.3333 n1: 36.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 97.4 n1: 97.4 u1: Deg. F st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 02/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 02/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [10:00:00 02/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Tube Feeding t0: [12:00:00 02/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [10:00:00 02/03/2016] el: 1 cg: RN cu: CCU vo: 45 vu: ml
id: IV Infusion In Total t0: [23:00:00 02/03/2016] el: 2 cg: RN cu: CCU cv: 240 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 02/03/2016] el: 2 cg: RN cu: CCU cv: 1620 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 02/03/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 02/03/2016] el: 2 cg: RN cu: CCU cv: 1080 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 02/03/2016] el: 2 cg: RN cu: CCU cv: 1065 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 02/03/2016] el: 2 cg: RN cu: CCU cv: 540 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 02/03/2016] el: 2 cg: RN cu: CCU cv: 1512.23 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 02/03/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 02/03/2016] el: 2 cg: RN cu: CCU cv: 1080 ac: 24 ap: none re: 0
id: GI Prophylaxis t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: H2 Blocker st: NotStopd id: GI Prophylaxis t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: H2 Blocker st: NotStopd id: Diet Type t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Diet Type t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: GI#1 Intub Site t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Intub Site t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Eye Opening t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Eye Opening t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: Follows Commands t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GCS Total t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Guaiac/ph t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: GI Intub #1/Site t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI Intub #1/Site t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Cath Insert Date t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: GU Catheter Size t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Abdominal Assessment t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Abdominal Assessment t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: LL Strength/Movement t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LL Strength/Movement t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: LLL Lung Sounds t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LUL Lung Sounds t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Motor Response t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Oral Cavity t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Orientation t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: RL Strength/Movement t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: RL Strength/Movement t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Exp Wheeze st: NotStopd id: RLL Lung Sounds t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RU Strength/Movement t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RUL Lung Sounds t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RUL Lung Sounds t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Pattern t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Spontaneous Movement t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Spontaneous Movement t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Urine Color/Appear t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Color/Appear t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Urine Source t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Bowel Sounds t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Topic #1 t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Imp Skin Cleanse #1 t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Scant st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Black st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Position Change t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraints Evaluated t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: BehaviorSubsided st: NotStopd id: Side Rails t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Behavior t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd id: Pt./Family Informed t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: No Apparent Prob st: NotStopd id: Braden Mobility t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Incr Visibility st: NotStopd id: Range of Motion t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Education Barrier t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Commun Barrier st: NotStopd id: Education Handout t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Readiness t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Education Response t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Reinforced st: NotStopd id: Education Topic #1 t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Position Change t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Restraint Location t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Restraints Evaluated t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Behavior t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Calm st: NotStopd
id: Education Method t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Demonstration st: NotStopd
id: BED BATH t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: DONE id: HOB t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: HOB t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Activity t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Oral Care t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 26 n2: 26 st: NotStopd id: Skin Care t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#3 Cap Change t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: Therapeutic Bed t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Logroll st: NotStopd id: Turn t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: HOB Measurement t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: Back Care t0: [08:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: NBP t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 139 n1: 139 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd
id: High Resp. Rate t0: [13:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Minute Volume(Obser) t0: [13:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: L/min st: NotStopd id: PEEP Set t0: [13:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [13:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [13:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: . st: NotStopd id: Resp Rate (Total) t0: [13:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Tidal Volume (Obser) t0: [13:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 260 n1: 260 u1: ml/B st: NotStopd id: Ventilator Mode t0: [13:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd
id: Service Type t0: [13:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [13:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 72 n2: 72 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Temp. Site t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: calprevflg t0: [13:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [13:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [13:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Riker-SAS Scale t0: [13:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [13:00:00 02/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Pain Location t0: [13:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [13:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Sputum Color/Consist t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Scant st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [13:00:00 02/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [13:00:00 02/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [12:00:00 02/03/2016] el: 1 cg: RN cu: CCU vo: 70 vu: ml id: Urine Out Foley t0: [13:00:00 02/03/2016] el: 1 cg: RN cu: CCU vo: 45 vu: ml
id: Trach Insert Date t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 11.6667 n1: 11.6667 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: I:E Ratio t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 1:2.2 st: NotStopd id: Airway Size t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 5.2 n1: 5.2 u1: L/min st: NotStopd id: PEEP Set t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Pressure Support t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 270 n1: 270 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Type t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [15:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [15:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [15:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [15:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [15:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [15:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [15:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [16:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [16:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [16:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [13:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: SpO2 t0: [16:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [16:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Assess Method t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [17:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 02/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [17:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: Health Care Proxy t0: [17:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GI Intub #1/Site t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [17:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LL Strength/Movement t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: Level of Conscious t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [17:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: mmHg v2: 30 n2: 30 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: Oral Care t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 26 n2: 26 st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: INV#3 Cap Change t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: calprevflg t0: [17:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 02/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 70 vu: ml id: Tube Feeding t0: [20:00:00 02/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 315 vu: ml id: Urine Out Foley t0: [20:00:00 02/03/2016] el: 1 cg: RN cu: CCU vo: 220 vu: ml
id: Trach Insert Date t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 11.2 n1: 11.2 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 1:2.2 st: NotStopd id: Airway Size t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 6.5 n1: 6.5 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 239 n1: 239 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Type t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 02/03/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [21:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [21:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [21:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 02/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [21:00:00 02/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml
id: Trach Insert Date t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 1:2.2 st: NotStopd id: Airway Size t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 6.93 n1: 6.93 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 33 n1: 33 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 258 n1: 258 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Type t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Pt Verbalized st: NotStopd id: Service Type t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 03/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: Health Care Proxy t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Family Communication t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Follows Commands t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GCS Total t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rate t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Activity Tolerance t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Small st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LL Strength/Movement t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: LLL Lung Sounds t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 26 n2: 26 st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 02/03/2016] 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 02/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: No Movement st: NotStopd id: RLL Lung Sounds t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Location t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Location t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [23:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 22 n2: 22 st: NotStopd id: Temp. Site t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Verbal Response t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [20:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 02/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 03/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [22:00:00 02/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [00:00:00 03/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Tube Feeding t0: [22:00:00 02/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [00:00:00 03/03/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml id: Urine Out Foley t0: [22:00:00 02/03/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: Service Type t0: [01:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [01:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 158 n1: 158 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 03/03/2016] 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 03/03/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: calprevflg t0: [01:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 03/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [01:00:00 03/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [01:00:00 03/03/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Service Type t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: calprevflg t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 03/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [02:00:00 03/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [02:00:00 03/03/2016] el: 1 cg: RN cu: CCU vo: 25 vu: ml
id: Service Type t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Activity t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: NBP t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 177 n1: 177 u1: mmHg v2: 87 n2: 87 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg st: NotStopd id: Oral Care t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Assistance Device t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Therapeutic Bed t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: calprevflg t0: [03:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 03/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [03:00:00 03/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [03:00:00 03/03/2016] el: 1 cg: RN cu: CCU vo: 38 vu: ml
id: Trach Insert Date t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 11.6667 n1: 11.6667 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: RSBI Not Completed t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: No Spon Resp st: NotStopd id: FiO2 Set t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 50 n1: 50 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 1:2.2 st: NotStopd id: Airway Size t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 5.27 n1: 5.27 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 29 n1: 29 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 277 n1: 277 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Cuff Pressure-Airway t0: [00:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd
id: Less Restrict Meas. t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Level t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Present t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Range of Motion t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 03/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: Health Care Proxy t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #1 t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Follows Commands t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Small st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Red st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LL Strength/Movement t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Arouse to Voice st: NotStopd id: Motor Response t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 38 n2: 38 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 52 n1: 52 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Cause t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: At Rest st: NotStopd id: Pain Level (Rest) t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3-Mild to Mod st: NotStopd id: Pain Location t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Abdominal st: NotStopd id: Pain Management t0: [04:00:00 03/03/2016] el: 1 cg: RN cu: CCU v1: PO Med st: NotStopd id: Pain Type t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Aching st: NotStopd id: Position t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 26 n2: 26 st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Location t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Right Arm st: NotStopd id: Restraint Type t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Spontaneous Movement t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Temp. Site t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 03/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Gastric Meds t0: [03:00:00 03/03/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 30 vu: ml id: GT Flush t0: [00:00:00 03/03/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 50 vu: ml id: Tube Feeding t0: [04:00:00 03/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [04:00:00 03/03/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: PO/Gastric In Total t0: [23:00:00 03/03/2016] el: 2 cg: RN cu: CCU cv: 80 ac: 24 ap: none re: 0
id: Service Type t0: [05:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [05:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 154 n1: 154 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [05:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [05:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 03/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [05:00:00 03/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [05:00:00 03/03/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml
pi: 4577191 hi: 10949 t0: [07:00:00 03/03/2016] tf: [06:00:00 04/03/2016] 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: WBC (4-11,000) t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 13.5 n1: 13.5 rs: Final st: NotStopd id: WBC t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 13.5 n1: 13.5 rs: Final st: NotStopd id: Hematocrit t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 27.8 n1: 27.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 9.2 n1: 9.2 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 463 n1: 463 rs: Final st: NotStopd id: RBC t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 3 n1: 3 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 13.5 n1: 13.5 rs: Final st: NotStopd
id: Service Type t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: D5W 100.0ml t0: [06:00:00 03/03/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 03/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [06:00:00 03/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [06:00:00 03/03/2016] el: 1 cg: RN cu: CCU vo: 45 vu: ml
id: BUN t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Calcium t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 128 n1: 128 rs: Final st: NotStopd id: Magnesium t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd id: BUN (6-20) t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 34 n1: 34 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 8.6 n1: 8.6 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 26 n1: 26 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 0.8 n1: 0.8 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 128 n1: 128 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.5 n1: 2.5 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 3.9 n1: 3.9 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:06:00 03/03/2016] el: 0 cg: 1663 cu: CCU v1: 142 n1: 142 rs: Final st: NotStopd
id: INV#3 Cap Change t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd
id: Trach Insert Date t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: BPM st: NotStopd id: Airway Size t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 6.7 n1: 6.7 u1: L/min st: NotStopd id: PEEP Set t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: . st: NotStopd id: Resp Rate (Total) t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Tank A psi. t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 223 n1: 223 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [07:35:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
pi: 4577407 hi: 10949 t0: [10:00:00 03/03/2016] tf: [20:00:00 07/03/2016] mn: Furosemide pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: DAILY ds: 10 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Range of Motion t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Change in Vitals st: NotStopd id: Service Type t0: [07:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [09:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [09:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 03/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [09:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [09:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: Health Care Proxy t0: [07:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [09:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #1 t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Guaiac/ph t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: GI Intub #1/Site t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Heart Rate t0: [07:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rate t0: [09:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [09:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [09:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LL Strength/Movement t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LU Strength/Movement t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP t0: [09:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 165 n1: 165 u1: mmHg v2: 94 n2: 94 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: Oral Cavity t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Management t0: [08:00:00 03/03/2016] el: 1 cg: RN cu: CCU v1: PO Med v2: PO Med st: NotStopd id: Position Change t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [07:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [09:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RU Strength/Movement t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [09:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [07:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Loose st: NotStopd id: Stool Guaiac t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Support Systems t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Temp. Site t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 35.9444 n1: 35.9444 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 96.7 n1: 96.7 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [09:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [07:00:00 03/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [08:00:00 03/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [09:00:00 03/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [07:00:00 03/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [08:00:00 03/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [09:00:00 03/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [09:00:00 03/03/2016] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: Less Restrict Meas. t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Heart Rate t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 65 n1: 65 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Activity t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Impaired Skin Site#1 t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Level of Conscious t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: NBP t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Position Change t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Rate t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Support Systems t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: calprevflg t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 03/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [10:00:00 03/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml
id: Trach Insert Date t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: BPM st: NotStopd id: Airway Size t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 9.6 n1: 9.6 u1: L/min st: NotStopd id: PEEP Set t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: BPM st: NotStopd id: Tank A psi. t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 265 n1: 265 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:30:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [11:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [11:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [11:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [11:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: Health Care Proxy t0: [11:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: BED BATH t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: done id: Follows Commands t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: GU Cath Insert Date t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Heart Rate t0: [11:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3SiteAppear t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity t0: [11:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LL Strength/Movement t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [11:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [11:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: NBP t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position Change t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [11:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: RUL Lung Sounds t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [11:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Care t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [11:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Cap Change t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [10:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: Urine Color/Appear t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Back Care t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [11:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: D5W 100.0ml t0: [12:00:00 03/03/2016] el: 1 ai: 105 cg: RN cu: CCU vo: 100 vu: ml id: .9% Normal Saline 1000.0ml t0: [12:00:00 03/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [12:00:00 03/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [12:00:00 03/03/2016] el: 1 cg: RN cu: CCU vo: 140 vu: ml
id: IV Infusion In Total t0: [23:00:00 03/03/2016] el: 2 cg: RN cu: CCU pv: 10 cv: 350 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 03/03/2016] el: 2 cg: RN cu: CCU pv: 55 cv: 1555 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 03/03/2016] el: 2 cg: RN cu: CCU pv: 200 cv: 200 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 03/03/2016] el: 2 cg: RN cu: CCU pv: 45 cv: 1125 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 03/03/2016] el: 2 cg: RN cu: CCU pv: 200 cv: 2013 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 03/03/2016] el: 2 cg: RN cu: CCU pv: -145 cv: -458 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 03/03/2016] el: 2 cg: RN cu: CCU pv: -145 cv: 1054.23 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 03/03/2016] el: 2 cg: RN cu: CCU pv: -145 cv: -145 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 03/03/2016] el: 2 cg: RN cu: CCU pv: 200 cv: 2013 ac: 24 ap: carryForward re: 0
id: Imp Skin Cleanse #1 t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: Imp Skin Cleanse #2 t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Character #2 t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Serous v2: Scant st: NotStopd id: ImpSkin Drain/Amt#2 t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Serous v2: Scant st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Black st: NotStopd id: ImpSkin Wound Base#2 t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Black st: NotStopd id: Braden Activity t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Problem st: NotStopd id: Braden Mobility t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
pi: 4578762 hi: 10949 t0: [16:00:00 03/03/2016] tf: [15:00:00 04/03/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 16 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Less Restrict Meas. t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [13:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [13:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: GI Prophylaxis t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: GI Prophylaxis t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi v2: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [13:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [13:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: Health Care Proxy t0: [13:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #1 t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Undigested Food st: NotStopd id: GU Cath Insert Date t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: HOB t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [13:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Abdominal Assessment t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [13:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Level of Conscious t0: [13:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [15:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Level of Conscious t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [13:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 146 n1: 146 u1: mmHg v2: 86 n2: 86 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [15:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: mmHg v2: 101 n2: 101 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg st: NotStopd id: Oral Care t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [13:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [15:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Reason For Restraint t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [13:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Spontaneous Movement t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Loose st: NotStopd id: Stool Color/Consist t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Formed st: NotStopd id: Stool Guaiac t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Stool Guaiac t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Support Systems t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Cap Change t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: Therapeutic Bed t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Source t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [13:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Bowel Sounds t0: [16:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [16:00:00 03/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 40 vu: ml id: Tube Feeding t0: [16:00:00 03/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 180 vu: ml id: Stool Out Stool t0: [08:00:00 03/03/2016] el: 1 cg: RN cu: CCU vu: ml es: Large id: Stool Out Stool t0: [12:00:00 03/03/2016] el: 1 cg: RN cu: CCU vu: ml es: Large id: Stool Out Stool t0: [16:00:00 03/03/2016] el: 1 cg: RN cu: CCU vu: ml es: Large id: Urine Out Foley t0: [16:00:00 03/03/2016] el: 1 cg: RN cu: CCU vo: 500 vu: ml
id: Stool Out Total t0: [23:00:00 03/03/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0
id: Trach Insert Date t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 36.8 n1: 36.8 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 9.4 n1: 9.4 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Tank A psi. t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 320 n1: 320 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
pi: 4579160 hi: 10949 t0: [18:00:00 03/03/2016] tf: [17:00:00 04/03/2016] mn: Furosemide pt: Unit Dose st: Expired rt: IV fr: ONCE ds: 18 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [17:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [17:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [17:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [17:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [17:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [17:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [17:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [17:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 69 n1: 69 u1: mmHg st: NotStopd id: Precautions t0: [17:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [17:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Temp. Site t0: [15:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [15:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 36.1111 n1: 36.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [15:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: Deg. F st: NotStopd id: calprevflg t0: [17:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 03/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [17:00:00 03/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [17:00:00 03/03/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Service Type t0: [18:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [18:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Precautions t0: [18:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [18:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [18:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [18:00:00 03/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [18:00:00 03/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [18:00:00 03/03/2016] el: 1 cg: RN cu: CCU vo: 120 vu: ml
pi: 4579518 hi: 10949 t0: [22:00:00 03/03/2016] tf: [20:00:00 07/03/2016] mn: Erythromycin 0.5% Ophth Oint pt: Unit Dose st: Discontinued via patient discharge rt: OU fr: TID ds: 08, 16, 22 dn: 3 di: Ongoing xv: 36 xu: Hours
id: Less Restrict Meas. t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [19:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 03/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: Health Care Proxy t0: [19:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Feeding v2: Bilious st: NotStopd id: GU Cath Insert Date t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [19:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LL Strength/Movement t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LUL Lung Sounds t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 67 n1: 67 u1: mmHg st: NotStopd id: Oral Cavity t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: SpO2 t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Formed st: NotStopd id: Support Systems t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: Temp. Site t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [19:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 03/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [20:00:00 03/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [20:00:00 03/03/2016] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: Trach Insert Date t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 13.3333 n1: 13.3333 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 1:2.2 st: NotStopd id: Airway Size t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 7.78 n1: 7.78 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 227 n1: 227 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Type t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 03/03/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [20:20:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:25:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:30:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:35:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [21:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:20:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:25:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:30:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:35:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [21:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [20:20:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:25:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:30:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:35:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [21:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [20:20:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:25:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:30:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:35:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [21:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [20:20:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [20:25:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 87 n1: 87 u1: BPM st: NotStopd id: Heart Rate t0: [20:30:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rate t0: [20:35:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rate t0: [21:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [20:20:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP t0: [20:25:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP t0: [20:35:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 55 n2: 55 u2: mmHg st: NotStopd id: NBP t0: [21:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 77 n2: 77 u2: mmHg st: NotStopd id: NBP Mean t0: [20:20:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: NBP Mean t0: [20:25:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: NBP Mean t0: [20:30:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: mmHg st: NotStopd id: NBP Mean t0: [20:35:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [20:20:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:25:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:30:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:35:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [21:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:20:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:25:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:30:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:35:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:20:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:25:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:30:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:35:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:20:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:25:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:30:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:35:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:20:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:25:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:30:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:35:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:20:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:25:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:30:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:35:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [21:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: SpO2 t0: [20:20:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [20:25:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [20:30:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [20:35:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [21:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [20:20:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:25:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:30:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:35:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [21:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 03/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [21:00:00 03/03/2016] el: 1 cg: RN cu: CCU vo: 55 vu: ml
id: Service Type t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Heart Rate t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Activity t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: NBP t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: Oral Care t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Skin Care t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Therapeutic Bed t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Back Care t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 03/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [22:00:00 03/03/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Service Type t0: [23:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [23:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [23:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [23:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [23:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [23:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: BPM st: NotStopd id: Heart Rhythm t0: [23:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [23:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 40 n2: 40 u2: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 58 n1: 58 u1: mmHg st: NotStopd id: Precautions t0: [23:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [23:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 21 n1: 21 u1: BPM st: NotStopd id: calprevflg t0: [23:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 03/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [23:00:00 03/03/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml
id: Less Restrict Meas. t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 04/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: Health Care Proxy t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #1 t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 To speech st: NotStopd id: Family Communication t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Follows Commands t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 10 n1: 10 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: ImpSkin Character #1 t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Small st: NotStopd id: ImpSkin Treatment #1 t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#1 t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LL Strength/Movement t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Motor Response t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 81 n2: 81 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [20:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Stool Guaiac t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Support Systems t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: Temp. Site t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 03/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 04/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Urine Out Foley t0: [00:00:00 04/03/2016] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: Tube Feeding t0: [00:00:00 04/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [21:00:00 03/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [22:00:00 03/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [23:00:00 03/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml
id: Trach Insert Date t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 17.5 n1: 17.5 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 1:2.2 st: NotStopd id: Airway Size t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 8.81 n1: 8.81 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 296 n1: 296 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [01:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [01:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [01:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 04/03/2016] 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 04/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: calprevflg t0: [01:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 04/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [01:00:00 04/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [01:00:00 04/03/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Service Type t0: [01:10:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:10:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:10:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:10:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:10:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:10:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:10:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:10:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [01:10:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [01:10:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Precautions t0: [01:10:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:10:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:10:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:10:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:10:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:10:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [01:10:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:10:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [01:20:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:20:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:20:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:20:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:20:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: BPM st: NotStopd id: Heart Rate t0: [01:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: NBP t0: [01:20:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 118 n1: 118 u1: mmHg v2: 48 n2: 48 u2: mmHg st: NotStopd id: NBP t0: [01:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 112 n1: 112 u1: mmHg v2: 53 n2: 53 u2: mmHg st: NotStopd id: NBP Mean t0: [01:20:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: NBP Mean t0: [01:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [01:20:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:20:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:20:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:20:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:20:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [01:20:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: SpO2 t0: [01:20:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [01:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [01:20:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 04/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [02:00:00 04/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [02:00:00 04/03/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Service Type t0: [02:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [02:55:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [02:55:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [02:55:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [02:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:55:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: BPM st: NotStopd id: Heart Rate t0: [02:55:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 84 n1: 84 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [02:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 54 n1: 54 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: NBP t0: [02:55:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP t0: [03:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg v2: 32 n2: 32 u2: mmHg st: NotStopd id: NBP Mean t0: [02:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 36 n1: 36 u1: mmHg st: NotStopd id: NBP Mean t0: [02:55:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 39 n1: 39 u1: mmHg st: NotStopd id: Precautions t0: [02:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [02:55:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:55:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:55:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:55:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:55:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [02:55:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [02:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [02:55:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [03:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [02:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [02:55:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 04/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [03:00:00 04/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [03:00:00 04/03/2016] el: 1 cg: RN cu: CCU vo: 15 vu: ml
id: Less Restrict Meas. t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 04/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Type t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: Health Care Proxy t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #1 t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Imp Skin Cleanse #1 t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Wound Cleanser st: NotStopd id: ImpSkin Character #1 t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Serosanguinous v2: Small st: NotStopd id: ImpSkin Treatment #1 t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Other/Remarks st: NotStopd id: ImpSkin Wound Base#1 t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LL Strength/Movement t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Lethargic st: NotStopd id: Motor Response t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Easily Palpable st: NotStopd id: Assistance Device t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Color t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Stool Guaiac t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Support Systems t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: Temp. Site t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 04/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [04:00:00 04/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml
id: Service Type t0: [03:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:40:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:50:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:40:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:50:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:40:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:50:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:40:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:50:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [03:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [03:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rate t0: [03:40:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [03:50:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: NBP t0: [03:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: mmHg v2: 44 n2: 44 u2: mmHg st: NotStopd id: NBP t0: [03:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: NBP t0: [03:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 76 n1: 76 u1: mmHg v2: 19 n2: 19 u2: mmHg st: NotStopd id: NBP t0: [03:40:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: NBP t0: [03:50:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg v2: 14 n2: 14 u2: mmHg st: NotStopd id: NBP Mean t0: [03:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: NBP Mean t0: [03:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 40 n1: 40 u1: mmHg st: NotStopd id: NBP Mean t0: [03:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: mmHg st: NotStopd id: NBP Mean t0: [03:40:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: mmHg st: NotStopd id: NBP Mean t0: [03:50:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: mmHg st: NotStopd id: Precautions t0: [03:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [03:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [03:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [03:40:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [03:50:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:40:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:50:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:40:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:50:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:40:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:50:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:40:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:50:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:40:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:50:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [03:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [03:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [03:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: SpO2 t0: [03:40:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [03:50:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:40:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:50:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: WBC (4-11,000) t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 9.4 n1: 9.4 rs: Final st: NotStopd id: WBC t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 9.4 n1: 9.4 rs: Final st: NotStopd id: Hematocrit t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 23.8 n1: 23.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 7.9 n1: 7.9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 422 n1: 422 rs: Final st: NotStopd id: RBC t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.62 n1: 2.62 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 9.4 n1: 9.4 rs: Final st: NotStopd
id: Trach Insert Date t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 25.4545 n1: 25.4545 u1: ml/cmH st: NotStopd id: RSBI (<100) t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 114.943 n1: 114.943 u1: units st: NotStopd id: Cuff Leak t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 1:2.2 st: NotStopd id: Airway Size t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Mean Airway Pressure t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 9.33 n1: 9.33 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 16 n1: 16 u1: cmH2O st: NotStopd id: RSBI (<200) t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 114.943 n1: 114.943 u1: units st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 13 n1: 13 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 2000 n1: 2000 st: NotStopd id: Tank B psi. t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 0.261 n1: 0.261 u1: L st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 311 n1: 311 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [05:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [05:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [05:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [05:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: BPM st: NotStopd id: NBP t0: [05:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 106 n1: 106 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 68 n1: 68 u1: mmHg st: NotStopd id: Precautions t0: [05:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: calprevflg t0: [05:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 04/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [05:00:00 04/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [05:00:00 04/03/2016] el: 1 cg: RN cu: CCU vo: 50 vu: ml
id: BUN t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 47 n1: 47 rs: Final st: NotStopd id: Calcium t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 119 n1: 119 rs: Final st: NotStopd id: Magnesium t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 4.8 n1: 4.8 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd id: BUN (6-20) t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 47 n1: 47 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 8.4 n1: 8.4 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 28 n1: 28 rs: Final st: NotStopd id: Chloride (100-112) t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 106 n1: 106 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 119 n1: 119 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.3 n1: 2.3 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 4.8 n1: 4.8 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 3.6 n1: 3.6 rs: Final st: NotStopd id: Sodium (135-148) t0: [03:57:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 143 n1: 143 rs: Final st: NotStopd
pi: 4580708 hi: 10949 t0: [07:00:00 04/03/2016] tf: [06:00:00 05/03/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours pi: 4580709 hi: 10949 t0: [07:00:00 04/03/2016] tf: [06:00:00 05/03/2016] mn: Potassium Chloride pt: Unit Dose st: Expired rt: PO fr: ONCE ds: 7 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [06:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [06:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [06:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 31 n2: 31 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 44 n1: 44 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [06:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: % st: NotStopd id: calprevflg t0: [06:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 04/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [06:00:00 04/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [06:00:00 04/03/2016] el: 1 cg: RN cu: CCU vo: 35 vu: ml
id: Less Restrict Meas. t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [07:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [07:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [07:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [07:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: Health Care Proxy t0: [07:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [07:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: BPM st: NotStopd id: Heart Rate t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: BPM st: NotStopd id: Heart Rhythm t0: [07:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LL Strength/Movement t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LU Strength/Movement t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [07:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: NBP Mean t0: [07:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position Change t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [07:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RU Strength/Movement t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [07:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: Respiratory Rate t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [07:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: Temp. Site t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 36.6111 n1: 36.6111 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 97.9 n1: 97.9 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [07:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 04/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [08:00:00 04/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [08:00:00 04/03/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Trach Insert Date t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: Cuff Pressure-Airway t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: FiO2 Set t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 7.3 n1: 7.3 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: . st: NotStopd id: Resp Rate (Total) t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Source/Amt t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Scant st: NotStopd id: Tidal Volume (Obser) t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 310 n1: 310 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: WBC (4-11,000) t0: [11:00:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 11.6 n1: 11.6 rs: Final st: NotStopd id: WBC t0: [11:00:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 11.6 n1: 11.6 rs: Final st: NotStopd id: Hematocrit t0: [11:00:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 27.6 n1: 27.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [11:00:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 8.8 n1: 8.8 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [11:00:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 495 n1: 495 rs: Final st: NotStopd id: RBC t0: [11:00:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.97 n1: 2.97 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [11:00:00 04/03/2016] el: 0 cg: 1663 cu: CCU v1: 11.6 n1: 11.6 rs: Final st: NotStopd
id: Trach Insert Date t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 300 n1: 300 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: Health Care Proxy t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Heart Rate t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Abdominal Assessment t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: LL Strength/Movement t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LU Strength/Movement t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 77 n1: 77 u1: mmHg st: NotStopd id: Oral Cavity t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position Change t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Precautions t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RU Strength/Movement t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: RestraintReapply st: NotStopd id: Side Rails t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Spontaneous Movement t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: INV#3 Cap Change t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: Temp. Site t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 36.2222 n1: 36.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 97.2 n1: 97.2 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 04/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 40 vu: ml id: GT Flush t0: [12:00:00 04/03/2016] el: 1 ai: 304 cg: RN cu: CCU vo: 50 vu: ml id: Tube Feeding t0: [12:00:00 04/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 180 vu: ml id: Urine Out Foley t0: [12:00:00 04/03/2016] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: IV Infusion In Total t0: [23:00:00 04/03/2016] el: 2 cg: RN cu: CCU pv: 20 cv: 240 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 04/03/2016] el: 2 cg: RN cu: CCU pv: 110 cv: 1370 ac: 24 ap: none re: 0 id: PO/Gastric In Total t0: [23:00:00 04/03/2016] el: 2 cg: RN cu: CCU cv: 50 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 04/03/2016] el: 2 cg: RN cu: CCU pv: 150 cv: 150 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 04/03/2016] el: 2 cg: RN cu: CCU pv: 90 cv: 1080 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 04/03/2016] el: 2 cg: RN cu: CCU pv: 150 cv: 1425 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 04/03/2016] el: 2 cg: RN cu: CCU pv: -40 cv: -55 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 04/03/2016] el: 2 cg: RN cu: CCU pv: -40 cv: 999.232 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 04/03/2016] el: 2 cg: RN cu: CCU pv: -40 cv: -40 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 04/03/2016] el: 2 cg: RN cu: CCU pv: 150 cv: 1425 ac: 24 ap: none re: 0
id: Service Type t0: [13:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [15:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [13:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [15:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [15:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [13:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [15:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [15:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [13:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [15:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [13:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [15:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [13:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 111 n1: 111 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rate t0: [15:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [15:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [13:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 147 n1: 147 u1: mmHg v2: 98 n2: 98 u2: mmHg st: NotStopd id: NBP t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: mmHg v2: 56 n2: 56 u2: mmHg st: NotStopd id: NBP t0: [15:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [13:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: NBP Mean t0: [15:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 55 n1: 55 u1: mmHg st: NotStopd id: Precautions t0: [13:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [15:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate t0: [15:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [13:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [15:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [15:00:00 04/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Tube Feeding t0: [15:00:00 04/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 135 vu: ml id: Urine Out Foley t0: [15:00:00 04/03/2016] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: Service Type t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Precautions t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: calprevflg t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Trach Insert Date t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: BPM st: NotStopd id: Airway Size t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Minute Volume(Obser) t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 5.7 n1: 5.7 u1: L/min st: NotStopd id: PEEP Set t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Ve High t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [13:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [13:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 230 n1: 230 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:36:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: SpO2 t0: [16:38:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd
id: Less Restrict Meas. t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [17:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [17:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [17:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [17:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: Health Care Proxy t0: [17:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #1 t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Heart Rate t0: [17:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Impaired Skin Site#1 t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LL Strength/Movement t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: LU Strength/Movement t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [17:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 49 n2: 49 u2: mmHg st: NotStopd id: NBP Mean t0: [17:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Oral Cavity t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Position Change t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Precautions t0: [17:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RU Strength/Movement t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [17:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 19 n1: 19 u1: BPM st: NotStopd id: Restraint Location t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Location t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Side Rails t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Color t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [17:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Stool Guaiac t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Support Systems t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Support Systems t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: Temp. Site t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 36.4444 n1: 36.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 97.6 n1: 97.6 u1: Deg. F st: NotStopd id: Urine Source t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [17:15:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [14:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [17:00:00 04/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [17:00:00 04/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [17:00:00 04/03/2016] el: 1 cg: RN cu: CCU vo: 45 vu: ml
id: MDI #2 (Puff/Drug) t0: [17:30:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: SpO2 t0: [17:30:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [17:30:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [17:30:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd
id: Service Type t0: [09:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [10:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [11:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [17:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [09:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [10:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [11:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [17:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [09:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [10:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [11:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [17:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [09:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [10:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [11:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [17:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [17:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [09:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [11:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [17:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [09:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [11:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [17:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [09:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rate t0: [10:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [11:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 89 n1: 89 u1: BPM st: NotStopd id: Heart Rate t0: [17:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rate t0: [17:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: BPM st: NotStopd id: Heart Rhythm t0: [09:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [10:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [11:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [17:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [09:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 68 n2: 68 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 88 n2: 88 u2: mmHg st: NotStopd id: NBP t0: [11:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 81 n1: 81 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP t0: [17:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 61 n1: 61 u1: mmHg v2: 22 n2: 22 u2: mmHg st: NotStopd id: NBP t0: [17:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 112 n2: 112 u2: mmHg st: NotStopd id: NBP Mean t0: [09:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: NBP Mean t0: [11:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 49 n1: 49 u1: mmHg st: NotStopd id: NBP Mean t0: [17:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: mmHg st: NotStopd id: NBP Mean t0: [17:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 116 n1: 116 u1: mmHg st: NotStopd id: Precautions t0: [09:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [10:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [11:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [17:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [17:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [09:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [09:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 170 n2: 170 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [09:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 45 n2: 45 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [09:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [09:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Respiratory Rate t0: [10:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [11:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 18 n1: 18 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [17:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [17:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: SpO2 t0: [17:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [09:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [10:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [11:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:05:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [17:45:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Service Type t0: [18:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [18:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 125 n1: 125 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [18:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 92 n2: 92 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: BPM st: NotStopd id: calprevflg t0: [18:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Trach Insert Date t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: BPM st: NotStopd id: I:E Ratio t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 1;2.3 st: NotStopd id: Airway Size t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 7.69 n1: 7.69 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: Plateau Pressure t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 274 n1: 274 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [20:00:00 04/03/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Less Restrict Meas. t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [19:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [19:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [19:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [19:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 04/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [19:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [19:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: Health Care Proxy t0: [19:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [19:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [19:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rate t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LL Strength/Movement t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [19:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 148 n1: 148 u1: mmHg v2: 78 n2: 78 u2: mmHg st: NotStopd id: NBP t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 123 n1: 123 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP Mean t0: [19:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Oral Cavity t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [19:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [19:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [19:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [19:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: BPM st: NotStopd id: Respiratory Rate t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Left Arm st: NotStopd id: Restraint Type t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: SpO2 t0: [19:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Stool Guaiac t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Support Systems t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: Temp. Site t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 98.6 n1: 98.6 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [19:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [19:30:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 04/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Tube Feeding t0: [20:00:00 04/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 135 vu: ml
id: Service Type t0: [21:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [21:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [21:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [21:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [21:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [21:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [21:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 134 n1: 134 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [21:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 82 n1: 82 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: calprevflg t0: [21:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 04/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [21:00:00 04/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml
id: Service Type t0: [22:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rate t0: [23:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [22:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP t0: [23:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 0 n1: 0 u1: mmHg v2: 0 n2: 0 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 66 n1: 66 u1: mmHg st: NotStopd id: NBP Mean t0: [23:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 04/03/2016] 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 04/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: calprevflg t0: [22:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:00:00 04/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [23:00:00 04/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [23:00:00 04/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [23:00:00 04/03/2016] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: Less Restrict Meas. t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [00:00:00 05/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: Health Care Proxy t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LL Strength/Movement t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 137 n1: 137 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Skin Care t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Spontaneous Movement t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Support Systems t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: Temp. Site t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 37.2222 n1: 37.2222 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 05/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [00:00:00 05/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [00:00:00 05/03/2016] el: 1 cg: RN cu: CCU vo: 30 vu: ml
id: Trach Insert Date t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 18.6667 n1: 18.6667 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: BPM st: NotStopd id: I:E Ratio t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 1:2.3 st: NotStopd id: Airway Size t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 11 n1: 11 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 7.1 n1: 7.1 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 282 n1: 282 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Type t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [01:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [01:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [01:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [01:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [01:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [01:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [01:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 105 n1: 105 u1: BPM st: NotStopd id: Heart Rhythm t0: [01:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [01:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 141 n1: 141 u1: mmHg v2: 67 n2: 67 u2: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [01:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 05/03/2016] 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 05/03/2016] el: 0 cg: RN cu: CCU v1: 24 n1: 24 u1: BPM st: NotStopd id: calprevflg t0: [01:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 05/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [01:00:00 05/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [01:00:00 05/03/2016] el: 1 cg: RN cu: CCU vo: 20 vu: ml
id: Service Type t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 133 n1: 133 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: calprevflg t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 05/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [02:00:00 05/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml
id: Service Type t0: [03:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [03:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [03:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [03:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [03:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [03:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [03:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 104 n1: 104 u1: BPM st: NotStopd id: Heart Rhythm t0: [03:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Precautions t0: [03:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [03:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [03:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [03:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [03:00:00 05/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [03:00:00 05/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [03:00:00 05/03/2016] el: 1 cg: RN cu: CCU vo: 45 vu: ml
id: Less Restrict Meas. t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [04:00:00 05/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: Health Care Proxy t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LL Strength/Movement t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Motor Response t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [03:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 151 n1: 151 u1: mmHg v2: 75 n2: 75 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 60 n1: 60 u1: mmHg v2: 36 n2: 36 u2: mmHg st: NotStopd id: NBP Mean t0: [03:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 94 n1: 94 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 41 n1: 41 u1: mmHg st: NotStopd id: Oral Care t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Supine st: NotStopd id: Position Change t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Side Rails t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Spontaneous Movement t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Support Systems t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: Therapeutic Bed t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [02:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [04:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [04:00:00 05/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [04:00:00 05/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [04:00:00 05/03/2016] el: 1 cg: RN cu: CCU vo: 25 vu: ml
id: Trach Insert Date t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 14.7368 n1: 14.7368 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: BPM st: NotStopd id: I:E Ratio t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 1:2.3 st: NotStopd id: Airway Size t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 5.7 n1: 5.7 u1: L/min st: NotStopd id: PEEP Set t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 24 n1: 24 u1: cmH2O st: NotStopd id: Resp Rate (Spont) t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Tank A psi. t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 209 n1: 209 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Type t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [04:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [04:15:00 05/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:30:00 05/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [05:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:15:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:30:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [05:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:15:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:30:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [05:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [05:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [05:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [04:15:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:30:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [05:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [04:15:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [04:30:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: BPM st: NotStopd id: Heart Rate t0: [05:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [04:15:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg v2: 35 n2: 35 u2: mmHg st: NotStopd id: NBP t0: [04:30:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP t0: [05:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: mmHg v2: 47 n2: 47 u2: mmHg st: NotStopd id: NBP Mean t0: [04:15:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 42 n1: 42 u1: mmHg st: NotStopd id: NBP Mean t0: [04:30:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 59 n1: 59 u1: mmHg st: NotStopd id: NBP Mean t0: [05:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [04:15:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:30:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [05:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:15:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:30:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:15:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:30:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:15:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:30:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:15:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:30:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:15:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:30:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Respiratory Rate t0: [05:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: SpO2 t0: [04:30:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [05:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: calprevflg t0: [04:15:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:30:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [05:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [05:00:00 05/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [05:00:00 05/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [05:00:00 05/03/2016] el: 1 cg: RN cu: CCU vo: 20 vu: ml
id: Service Type t0: [06:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [06:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [06:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [06:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [06:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 120 n1: 120 u1: mmHg v2: 69 n2: 69 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 83 n1: 83 u1: mmHg st: NotStopd id: Precautions t0: [06:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [06:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: calprevflg t0: [06:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 05/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [06:00:00 05/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [06:00:00 05/03/2016] el: 1 cg: RN cu: CCU vo: 15 vu: ml
id: Trach Insert Date t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: RSBI (<100) t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 150 n1: 150 u1: units st: NotStopd id: Cuff Leak t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Minute Volume(Obser) t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 8.5 n1: 8.5 u1: L/min st: NotStopd id: PEEP Set t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 14 n1: 14 u1: . st: NotStopd id: RSBI (<200) t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 150 n1: 150 u1: units st: NotStopd id: Resp Rate (Total) t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 32 n1: 32 u1: BPM st: NotStopd id: Tank A psi. t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 1600 n1: 1600 st: NotStopd id: Ve High t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Spon RR (Mech.) t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 0.2 n1: 0.2 u1: L st: NotStopd id: Sputum Color/Consist t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 260 n1: 260 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [08:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Pain Present t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 05/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Precautions t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: calprevflg t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 05/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [08:00:00 05/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml
id: Less Restrict Meas. t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: GI Prophylaxis t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: Education Topic #1 t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Salem Sump v2: Abdomen st: NotStopd id: GU Cath Insert Date t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LL Strength/Movement t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LLL Lung Sounds t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Oral Cavity t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position Change t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: RL Strength/Movement t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RLL Lung Sounds t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RUL Lung Sounds t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Spontaneous Movement t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: Urine Color/Appear t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 12 n1: 12 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd
id: Service Type t0: [10:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [10:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: HOB t0: [09:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [10:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Activity t0: [09:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: NBP t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 74 n2: 74 u2: mmHg st: NotStopd id: NBP t0: [10:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 122 n1: 122 u1: mmHg v2: 51 n2: 51 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [09:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [10:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Skin Care t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [10:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Therapeutic Bed t0: [09:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Back Care t0: [08:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [10:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 05/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [08:00:00 05/03/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 120 vu: ml id: Tube Feeding t0: [10:00:00 05/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [08:00:00 05/03/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml id: Urine Out Foley t0: [10:00:00 05/03/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: PO/Gastric In Total t0: [23:00:00 05/03/2016] el: 2 cg: RN cu: CCU cv: 220 ac: 24 ap: none re: 0
id: Sputum Color/Consist t0: [10:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [10:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd
id: WBC (4-11,000) t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 11.9 n1: 11.9 rs: Final st: NotStopd id: WBC t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 11.9 n1: 11.9 rs: Final st: NotStopd id: Hematocrit t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 26.8 n1: 26.8 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 8.5 n1: 8.5 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 510 n1: 510 rs: Final st: NotStopd id: RBC t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.89 n1: 2.89 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 11.9 n1: 11.9 rs: Final st: NotStopd
id: Pressure Support t0: [10:50:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [10:50:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Tidal Volume (Spont) t0: [10:50:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 260 n1: 260 u1: ml/B st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [11:00:00 05/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [11:00:00 05/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml
pi: 4584890 hi: 10949 t0: [12:00:00 05/03/2016] tf: [11:00:00 06/03/2016] mn: Potassium Chloride pt: IV Piggyback st: Expired rt: IV fr: ONCE ds: 12 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Activity Tolerance t0: [11:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Assistance Device t0: [11:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [11:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd
id: BUN t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 50 n1: 50 rs: Final st: NotStopd id: Calcium t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 9.1 n1: 9.1 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 113 n1: 113 rs: Final st: NotStopd id: Magnesium t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 4.6 n1: 4.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 147 n1: 147 rs: Final st: NotStopd id: BUN (6-20) t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 50 n1: 50 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 9.1 n1: 9.1 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 108 n1: 108 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 1.1 n1: 1.1 rs: Final st: NotStopd id: Glucose (70-105) t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 113 n1: 113 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 4.6 n1: 4.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 3.8 n1: 3.8 rs: Final st: NotStopd id: Sodium (135-148) t0: [10:16:00 05/03/2016] el: 0 cg: 1663 cu: CCU v1: 147 n1: 147 rs: Final st: NotStopd
id: Service Type t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GU Cath Insert Date t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Heart Rate t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 109 n1: 109 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LLL Lung Sounds t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: mmHg v2: 42 n2: 42 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Oral Cavity t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Oriented x 3 st: NotStopd id: Precautions t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 05/03/2016] 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 05/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: SpO2 t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: Temp. Site t0: [10:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [10:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 37.1111 n1: 37.1111 u1: Deg. C st: NotStopd id: Temperature F t0: [10:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 98.8 n1: 98.8 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: Trach Insert Date t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Minute Volume(Obser) t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: L/min st: NotStopd id: PEEP Set t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Ve High t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 330 n1: 330 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: MDI #1 (Puff/Drug) t0: [12:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 05/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [12:00:00 05/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [12:00:00 05/03/2016] el: 1 cg: RN cu: CCU vo: 400 vu: ml
id: IV Infusion In Total t0: [23:00:00 05/03/2016] el: 2 cg: RN cu: CCU pv: 10 cv: 240 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 05/03/2016] el: 2 cg: RN cu: CCU pv: 55 cv: 1540 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 05/03/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 05/03/2016] el: 2 cg: RN cu: CCU pv: 45 cv: 1080 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 05/03/2016] el: 2 cg: RN cu: CCU cv: 1195 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 05/03/2016] el: 2 cg: RN cu: CCU pv: 55 cv: 345 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 05/03/2016] el: 2 cg: RN cu: CCU pv: 55 cv: 1344.23 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 05/03/2016] el: 2 cg: RN cu: CCU pv: 55 cv: 55 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 05/03/2016] el: 2 cg: RN cu: CCU cv: 1195 ac: 24 ap: carryForward re: 0
id: Trach Insert Date t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 9.7 n1: 9.7 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 33 n1: 33 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thin st: NotStopd id: Sputum Source/Amt t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Pain Present t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [14:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [16:00:00 05/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [14:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [14:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Rare st: NotStopd id: Ectopy Type t0: [14:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Intub Site t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [14:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI Intub #1/Site t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Heart Rate t0: [14:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 115 n1: 115 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: LL Strength/Movement t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: LU Strength/Movement t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: Level of Conscious t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 157 n1: 157 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 102 n1: 102 u1: mmHg st: NotStopd id: Orientation t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Precautions t0: [14:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Moves on Bed st: NotStopd id: RU Strength/Movement t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: Respiratory Pattern t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [14:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Stool Color/Consist t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Temp. Site t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 37.5556 n1: 37.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 99.6 n1: 99.6 u1: Deg. F st: NotStopd id: Urine Color/Appear t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [14:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 05/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [16:00:00 05/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [16:00:00 05/03/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 100 vu: ml id: Tube Feeding t0: [14:00:00 05/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Tube Feeding t0: [16:00:00 05/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Stool Out Stool t0: [11:00:00 05/03/2016] el: 1 cg: RN cu: CCU vu: ml es: Small id: Stool Out Stool t0: [14:00:00 05/03/2016] el: 1 cg: RN cu: CCU vu: ml es: Small id: Stool Out Stool t0: [16:00:00 05/03/2016] el: 1 cg: RN cu: CCU vu: ml es: Small id: Urine Out Foley t0: [14:00:00 05/03/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: Urine Out Foley t0: [16:00:00 05/03/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: GI Prophylaxis t0: [12:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: H2 Blocker st: NotStopd id: GI Prophylaxis t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: H2 Blocker st: NotStopd id: Education Topic #1 t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: HOB t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Activity t0: [14:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LLL Lung Sounds t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Oral Cavity t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Assistance Device t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: RLL Lung Sounds t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Side Rails t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: Support Systems t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: Therapeutic Bed t0: [14:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Pt./Family Informed t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Service Type t0: [18:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [18:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [18:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [18:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [18:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [18:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [18:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [14:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 110 n1: 110 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 64 n1: 64 u1: mmHg st: NotStopd id: Precautions t0: [18:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [18:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: calprevflg t0: [18:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Pain Present t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 05/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Easily Palpable v2: Easily Palpable st: NotStopd id: Ectopy Frequency t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GU Cath Insert Date t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LL Strength/Movement t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LU Strength/Movement t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: Level of Conscious t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 72 n1: 72 u1: mmHg st: NotStopd id: Oral Cavity t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Precautions t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: RU Strength/Movement t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: Respiratory Pattern t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 25 n1: 25 u1: BPM st: NotStopd id: Side Rails t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 rails up st: NotStopd id: SpO2 t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: Temp. Site t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 37.3333 n1: 37.3333 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 99.2 n1: 99.2 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Urine Color/Appear t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 14 n1: 14 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 05/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 40 vu: ml id: Tube Feeding t0: [20:00:00 05/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 180 vu: ml id: Urine Out Foley t0: [20:00:00 05/03/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Micro-Neb Treatment t0: [20:00:00 05/03/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: FiO2 Set t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 37.2 n1: 37.2 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 9.9 n1: 9.9 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 34 n1: 34 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Yellow v2: Tenacious st: NotStopd id: Sputum Source/Amt t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 300 n1: 300 u1: ml/B st: NotStopd id: Ventilator Mode t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: LLL Lung Sounds t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RLL Lung Sounds t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: RUL Lung Sounds t0: [20:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd
id: Diet Type t0: [21:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [21:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI Intub #1/Site t0: [21:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GU Cath Insert Date t0: [21:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [21:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Respiratory Pattern t0: [21:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Sputum Color/Consist t0: [21:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [21:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: Stool Color/Consist t0: [21:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Stool Guaiac t0: [21:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Urine Source t0: [21:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [21:00:00 05/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [21:00:00 05/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Stool Out Stool t0: [21:00:00 05/03/2016] el: 1 cg: RN cu: CCU vu: ml es: Small id: Urine Out Foley t0: [21:00:00 05/03/2016] el: 1 cg: RN cu: CCU vo: 40 vu: ml
id: Stool Out Total t0: [23:00:00 05/03/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0
id: BED BATH t0: [21:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: done id: HOB t0: [21:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 45 degrees st: NotStopd id: Activity t0: [21:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: Oral Care t0: [21:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [21:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Skin Care t0: [21:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Therapeutic Bed t0: [21:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Back Care t0: [21:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: Service Type t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 108 n1: 108 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 140 n1: 140 u1: mmHg v2: 52 n2: 52 u2: mmHg st: NotStopd id: NBP Mean t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: calprevflg t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [22:00:00 05/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [22:00:00 05/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [22:00:00 05/03/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Compliance (40-60ml) t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 21.5385 n1: 21.5385 u1: ml/cmH st: NotStopd id: FiO2 Set t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Mean Airway Pressure t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 7.3 n1: 7.3 u1: L/min st: NotStopd id: PEEP Set t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 18 n1: 18 u1: cmH2O st: NotStopd id: Pressure Support t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: SpO2 t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Tidal Volume (Obser) t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 283 n1: 283 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Ventilator Mode t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [22:30:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Trach Insert Date t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Trach Insert Date t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Compliance (40-60ml) t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 17.5 n1: 17.5 u1: ml/cmH st: NotStopd id: Cuff Leak t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: Cuff Leak t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Mean Airway Pressure t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 7.5 n1: 7.5 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Peak Insp. Pressure t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 21 n1: 21 u1: cmH2O st: NotStopd id: Pressure Support t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: Resp Rate (Spont) t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 u1: BPM st: NotStopd id: Resp Rate (Total) t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: Respiratory Rate Set t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Obser) t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 290 n1: 290 u1: ml/B st: NotStopd id: Tidal Volume (Set) t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 280 n1: 280 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Cuff/Fenestra t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Trach Size t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Cuff t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Tracheostomy Type t0: [20:00:00 05/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Assist Control st: NotStopd id: Ventilator Type t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [00:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd
id: Service Type t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [01:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [01:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Riker-SAS Scale t0: [01:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Risk for Falls t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [01:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Frequent st: NotStopd id: Ectopy Frequency t0: [01:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [01:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [01:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 93 n1: 93 u1: BPM st: NotStopd id: Heart Rate t0: [01:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [01:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP t0: [01:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 48 n1: 48 u1: mmHg st: NotStopd id: NBP Mean t0: [01:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 63 n1: 63 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [01:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [01:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [01:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [01:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [01:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 22 n1: 22 u1: BPM st: NotStopd id: Respiratory Rate t0: [01:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: calprevflg t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [01:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: TF Residual t0: [00:00:00 06/03/2016] el: 1 ai: 128 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [00:00:00 06/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 05/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [00:00:00 06/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [23:00:00 05/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [00:00:00 06/03/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Less Restrict Meas. t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Pain Present t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [03:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [03:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Risk for Falls t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [03:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [03:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [03:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Education Barrier t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Commun Barrier st: NotStopd id: Education Handout t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Not Given st: NotStopd id: Education Learner t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Patient st: NotStopd id: Education Method t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Explanation st: NotStopd id: GI#1 Intub Site t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Education Readiness t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [03:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Response t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: No Understanding st: NotStopd id: Education Topic #1 t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Education Topic #2 t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Plan of Care st: NotStopd id: Eye Opening t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GU Cath Insert Date t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 127 n1: 127 u1: BPM st: NotStopd id: Heart Rate t0: [03:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rate t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [03:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [03:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [03:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [03:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LL Strength/Movement t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 128 n1: 128 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: NBP t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 41 n2: 41 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 51 n1: 51 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position Change t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [03:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [03:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [03:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [03:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [03:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [03:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: RUL Lung Sounds t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: BPM st: NotStopd id: Respiratory Rate t0: [03:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 20 n1: 20 u1: BPM st: NotStopd id: Restraint Location t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [01:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [03:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Stool Guaiac t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Support Systems t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [03:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [03:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: Temperature C (calc) t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 36.8333 n1: 36.8333 u1: Deg. C st: NotStopd id: Temperature F t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 98.3 n1: 98.3 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Back st: NotStopd id: Turn t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [03:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [02:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [22:00:00 05/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [01:00:00 06/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [02:00:00 06/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [03:00:00 06/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [04:00:00 06/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [01:00:00 06/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [02:00:00 06/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [03:00:00 06/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [04:00:00 06/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [02:00:00 06/03/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml id: Urine Out Foley t0: [04:00:00 06/03/2016] el: 1 cg: RN cu: CCU vo: 60 vu: ml
id: Trach Insert Date t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: RSBI (<100) t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 96.4286 n1: 96.4286 u1: units st: NotStopd id: Cuff Leak t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 45 n1: 45 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Mean Airway Pressure t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 9 n1: 9 u1: cmH2O st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 7.9 n1: 7.9 u1: L/min st: NotStopd id: PEEP Set t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: RSBI (<200) t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 96.4286 n1: 96.4286 u1: units st: NotStopd id: Resp Rate (Total) t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Ve High t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Spon RR (Mech.) t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 0.28 n1: 0.28 u1: L st: NotStopd id: Tidal Volume (Spont) t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 290 n1: 290 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [05:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Type t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Health Care Proxy t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: FiO2 Set t0: [05:10:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: Heart Rate t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: BPM st: NotStopd id: Heart Rhythm t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Airway Size t0: [05:10:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [05:10:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Intubation Date t0: [05:10:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: PEEP Set t0: [05:10:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Precautions t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Pressure Support t0: [05:10:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 0 n1: 0 u1: . st: NotStopd id: HR Alarm (Lo/Hi) t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [05:10:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Ventilator Type t0: [05:10:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd id: Waveform-Vent t0: [05:10:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: RAMP st: NotStopd id: calprevflg t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Trach Insert Date t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: Cuff Pressure-Airway t0: [07:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 25 n1: 25 u1: cmH2O st: NotStopd id: FiO2 Set t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 40 n1: 40 u1: BPM st: NotStopd id: Airway Size t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Minute Volume(Obser) t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 8.8 n1: 8.8 u1: L/min st: NotStopd id: PEEP Set t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 12 n1: 12 u1: . st: NotStopd id: Resp Rate (Total) t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 34 n1: 34 u1: BPM st: NotStopd id: Tank A psi. t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 1600 n1: 1600 st: NotStopd id: Ve High t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 260 n1: 260 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [07:22:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [07:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [07:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [07:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [07:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [07:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Alarms t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Alarms t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [00:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Parameters Checked t0: [04:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [07:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Inconsistently st: NotStopd id: GCS Total t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GU Cath Insert Date t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 136 n1: 136 u1: BPM st: NotStopd id: Heart Rate t0: [07:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 126 n1: 126 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [07:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Abdominal Assessment t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Soft Distended st: NotStopd id: Activity t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LLL Lung Sounds t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LU Strength/Movement t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 144 n1: 144 u1: mmHg v2: 90 n2: 90 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: mmHg st: NotStopd id: Oral Care t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position Change t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [07:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [07:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [07:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [07:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [07:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: RLL Lung Sounds t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RU Strength/Movement t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Lifts/Falls Back st: NotStopd id: RUL Lung Sounds t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate t0: [07:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Restraint Location t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: SpO2 t0: [07:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Stool Guaiac t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Negative st: NotStopd id: Temp. Site t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [07:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [06:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [05:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: TF Residual t0: [05:00:00 06/03/2016] el: 1 ai: 128 cg: RN cu: CCU vo: 0 vu: ml id: .9% Normal Saline 1000.0ml t0: [05:00:00 06/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [06:00:00 06/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: Tube Feeding t0: [05:00:00 06/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [06:00:00 06/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Urine Out Foley t0: [06:00:00 06/03/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: WBC (4-11,000) t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 14.8 n1: 14.8 rs: Final st: NotStopd id: WBC t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 14.8 n1: 14.8 rs: Final st: NotStopd id: Hematocrit t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 27.3 n1: 27.3 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 9.1 n1: 9.1 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 552 n1: 552 rs: Final st: NotStopd id: RBC t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.99 n1: 2.99 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 14.8 n1: 14.8 rs: Final st: NotStopd
id: BUN t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 45 n1: 45 rs: Final st: NotStopd id: Calcium t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 9.3 n1: 9.3 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 121 n1: 121 rs: Final st: NotStopd id: Magnesium t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 147 n1: 147 rs: Final st: NotStopd id: BUN (6-20) t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 45 n1: 45 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 9.3 n1: 9.3 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 30 n1: 30 rs: Final st: NotStopd id: Chloride (100-112) t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 107 n1: 107 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 1 n1: 1 rs: Final st: NotStopd id: Glucose (70-105) t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 121 n1: 121 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 4.1 n1: 4.1 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 4.5 n1: 4.5 rs: Final st: NotStopd id: Sodium (135-148) t0: [06:31:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 147 n1: 147 rs: Final st: NotStopd
id: Pain Present t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Service Type t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 06/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Type t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GU Cath Insert Date t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Heart Rate t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 129 n1: 129 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: LLL Lung Sounds t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 153 n1: 153 u1: mmHg v2: 80 n2: 80 u2: mmHg st: NotStopd id: NBP Mean t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: mmHg st: NotStopd id: Orientation t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Precautions t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 06/03/2016] 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 06/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: BPM st: NotStopd id: SpO2 t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Urine Source t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 06/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [08:00:00 06/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml
id: Education Topic #1 t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: Side Rails t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: Pt./Family Informed t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 13 n1: 13 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Service Type t0: [10:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 119 n1: 119 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: BPM st: NotStopd id: SpO2 t0: [10:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Temp. Site t0: [09:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [09:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [09:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [10:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 06/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Gastric Meds t0: [09:00:00 06/03/2016] el: 1 ai: 416 cg: RN cu: CCU vo: 150 vu: ml id: Tube Feeding t0: [10:00:00 06/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Stool Out Stool t0: [09:00:00 06/03/2016] el: 1 cg: RN cu: CCU vu: ml es: Medium id: Urine Out Foley t0: [08:00:00 06/03/2016] el: 1 cg: RN cu: CCU vo: 150 vu: ml
id: PO/Gastric In Total t0: [23:00:00 06/03/2016] el: 2 cg: RN cu: CCU cv: 650 ac: 24 ap: none re: 0 id: Stool Out Total t0: [23:00:00 06/03/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 24 ap: carryForward re: 0
id: Follows Commands t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: HOB t0: [09:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Activity t0: [09:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [09:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LL Strength/Movement t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LU Strength/Movement t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: Oral Care t0: [09:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [09:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: RL Strength/Movement t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: Skin Care t0: [09:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Spontaneous Movement t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Therapeutic Bed t0: [09:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [09:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Side to Side st: NotStopd id: Back Care t0: [09:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd
id: FiO2 Set t0: [11:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 42 n1: 42 u1: BPM st: NotStopd id: Airway Size t0: [11:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [11:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [11:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Minute Volume(Obser) t0: [11:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 9.8 n1: 9.8 u1: L/min st: NotStopd id: PEEP Set t0: [11:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 38 n1: 38 u1: BPM st: NotStopd id: Ve High t0: [11:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [11:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [11:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [11:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [11:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 250 n1: 250 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Heart Rate t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Precautions t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Trach Care t0: [09:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Behavior t0: [08:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Restless st: NotStopd id: Behavior t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: Pt./Family Informed t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd
id: INV Line#3 Type/Site t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: Level of Conscious t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Sleeping st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 4 n2: 4 st: NotStopd id: Sputum Color/Consist t0: [09:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [09:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Suctioned v2: Small st: NotStopd id: INV#3 Cap Change t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 06/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [12:00:00 06/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [10:00:00 06/03/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: Urine Out Foley t0: [12:00:00 06/03/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: IV Infusion In Total t0: [23:00:00 06/03/2016] el: 2 cg: RN cu: CCU pv: 30 cv: 240 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 06/03/2016] el: 2 cg: RN cu: CCU pv: 165 cv: 1970 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 06/03/2016] el: 2 cg: RN cu: CCU pv: 100 cv: 100 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 06/03/2016] el: 2 cg: RN cu: CCU pv: 135 cv: 1080 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 06/03/2016] el: 2 cg: RN cu: CCU pv: 100 cv: 1510 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 06/03/2016] el: 2 cg: RN cu: CCU pv: 65 cv: 460 ac: 24 ap: carryForward re: 0 id: LOS Net Body Balance t0: [23:00:00 06/03/2016] el: 2 cg: RN cu: CCU pv: 65 cv: 1804.23 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 06/03/2016] el: 2 cg: RN cu: CCU pv: 65 cv: 65 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 06/03/2016] el: 2 cg: RN cu: CCU pv: 100 cv: 1510 ac: 24 ap: carryForward re: 0
id: GI Prophylaxis t0: [13:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: H2 Blocker st: NotStopd id: Diet Type t0: [13:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [13:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Eye Opening t0: [13:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [13:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [13:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GU Cath Insert Date t0: [13:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [13:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Abdominal Assessment t0: [13:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Chair st: NotStopd id: Activity Tolerance t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Poor st: NotStopd id: LLL Lung Sounds t0: [13:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [13:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [13:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [13:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 130 n1: 130 u1: mmHg v2: 84 n2: 84 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 78 n1: 78 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [13:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [13:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: RLL Lung Sounds t0: [13:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [13:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Pattern t0: [13:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Stool Color/Consist t0: [09:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Therapeutic Bed t0: [12:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Color/Appear t0: [13:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [13:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [13:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Bowel Sounds t0: [13:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: Service Type t0: [14:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [14:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: GI#1 Intub Site t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [14:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GU Cath Insert Date t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Heart Rate t0: [14:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Activity t0: [15:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [15:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: LL Strength/Movement t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LU Strength/Movement t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: Level of Conscious t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [14:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 142 n1: 142 u1: mmHg v2: 76 n2: 76 u2: mmHg st: NotStopd id: NBP t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 143 n1: 143 u1: mmHg v2: 71 n2: 71 u2: mmHg st: NotStopd id: NBP Mean t0: [14:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 92 n1: 92 u1: mmHg st: NotStopd id: NBP Mean t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: mmHg st: NotStopd id: Orientation t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Assistance Device t0: [15:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Total Lift st: NotStopd id: Precautions t0: [14:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 4 n2: 4 st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: Respiratory Pattern t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [14:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: BPM st: NotStopd id: SpO2 t0: [14:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 98 n1: 98 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: INV#3 Cap Change t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: Therapeutic Bed t0: [15:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Urine Source t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [14:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Trach Insert Date t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 42 n1: 42 u1: BPM st: NotStopd id: Airway Size t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 37 n1: 37 u1: Deg. C st: NotStopd id: Intubation Date t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 4 n1: 4 v2: Atrovent st: NotStopd id: Minute Volume(Obser) t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 9.6 n1: 9.6 u1: L/min st: NotStopd id: PEEP Set t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 36 n1: 36 u1: BPM st: NotStopd id: Ve High t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: Sputum Color/Consist t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 300 n1: 300 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [16:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Occasional st: NotStopd id: Ectopy Frequency t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PVC's st: NotStopd id: Ectopy Type t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: HOB t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 95 n1: 95 u1: BPM st: NotStopd id: Heart Rhythm t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Heart Rhythm t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Abdominal Assessment t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Impaired Skin Site#2 t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LLL Lung Sounds t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: LUL Lung Sounds t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: NBP t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 103 n1: 103 u1: mmHg v2: 50 n2: 50 u2: mmHg st: NotStopd id: NBP Mean t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 62 n1: 62 u1: mmHg st: NotStopd id: Oral Care t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 06/03/2016] 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 06/03/2016] el: 0 cg: RN cu: CCU v1: Diminished st: NotStopd id: RUL Lung Sounds t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Respiratory Rate t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 29 n1: 29 u1: BPM st: NotStopd id: Side Rails t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: SpO2 t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Support Systems t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Therapeutic Bed t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Back Care t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [18:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [16:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 06/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: .9% Normal Saline 1000.0ml t0: [18:00:00 06/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 40 vu: ml id: Free Water Bolus t0: [14:00:00 06/03/2016] el: 1 ai: 274 cg: RN cu: CCU vo: 250 vu: ml id: Free Water Bolus t0: [18:00:00 06/03/2016] el: 1 ai: 274 cg: RN cu: CCU vo: 250 vu: ml id: Tube Feeding t0: [14:00:00 06/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Tube Feeding t0: [16:00:00 06/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Tube Feeding t0: [18:00:00 06/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Stool Out Stool t0: [15:00:00 06/03/2016] el: 1 cg: RN cu: CCU vu: ml es: Small id: Urine Out Foley t0: [14:00:00 06/03/2016] el: 1 cg: RN cu: CCU vo: 300 vu: ml id: Urine Out Foley t0: [16:00:00 06/03/2016] el: 1 cg: RN cu: CCU vo: 200 vu: ml id: Urine Out Foley t0: [18:00:00 06/03/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
id: Trach Insert Date t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 42 n1: 42 u1: BPM st: NotStopd id: Airway Size t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 37.3 n1: 37.3 u1: Deg. C st: NotStopd id: Intubation Date t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: Minute Volume(Obser) t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 10.3 n1: 10.3 u1: L/min st: NotStopd id: PEEP Set t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 10 n1: 10 u1: . st: NotStopd id: Resp Rate (Total) t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Ve High t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Moderate st: NotStopd id: Tidal Volume (Spont) t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: 310 n1: 310 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [20:00:00 06/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
pi: 4588590 hi: 10949 t0: [22:00:00 06/03/2016] tf: [20:00:00 07/03/2016] mn: Midodrine pt: Unit Dose st: Discontinued via patient discharge rt: PO fr: QHS ds: 22 dn: 1 di: Ongoing xv: 36 xu: Hours
id: Imp Skin Cleanse #2 t0: [21:00:00 06/03/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: ImpSkin Character #2 t0: [21:00:00 06/03/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: ImpSkin Drain/Amt#2 t0: [21:00:00 06/03/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: ImpSkin Treatment #2 t0: [21:00:00 06/03/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: ImpSkin Wound Base#2 t0: [21:00:00 06/03/2016] el: 0 cg: -1 cu: CCU st: D/C'd id: Impaired Skin Site#2 t0: [21:00:00 06/03/2016] el: 0 cg: -1 cu: CCU st: D/C'd
id: Range of Motion t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Service Type t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: GI Prophylaxis t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: H2 Blocker st: NotStopd id: Risk for Falls t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [21:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 117 n1: 117 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [21:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [21:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [21:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [21:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [21:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LL Strength/Movement t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Crackles st: NotStopd id: LU Strength/Movement t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LUL Lung Sounds t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Level of Conscious t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 113 n1: 113 u1: mmHg v2: 59 n2: 59 u2: mmHg st: NotStopd id: NBP Mean t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 70 n1: 70 u1: mmHg st: NotStopd id: Oral Care t0: [21:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position t0: [21:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Assistance Device t0: [21:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [21:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 4 n2: 4 st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: RU Strength/Movement t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Clear st: NotStopd id: Reason For Restraint t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: BPM st: NotStopd id: Restraint Location t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraints Evaluated t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: SpO2 t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Spontaneous Movement t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Support Systems t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [21:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [21:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: Therapeutic Bed t0: [21:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [21:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [21:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Mobility t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden SensoryPercep t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [20:00:00 06/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [20:00:00 06/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [20:00:00 06/03/2016] el: 1 cg: RN cu: CCU vo: 80 vu: ml
id: Total Protein t0: [21:29:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 6.8 n1: 6.8 rs: Final st: NotStopd id: Total Protein(6.5-8) t0: [21:29:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 6.8 n1: 6.8 rs: Final st: NotStopd
id: BUN t0: [21:29:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 rs: Final st: NotStopd id: Chloride t0: [21:29:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine t0: [21:29:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [21:29:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Magnesium t0: [21:29:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Potassium t0: [21:29:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium t0: [21:29:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [21:29:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 44 n1: 44 rs: Final st: NotStopd id: Carbon Dioxide t0: [21:29:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [21:29:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 105 n1: 105 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [21:29:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [21:29:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [21:29:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.6 n1: 2.6 rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [21:29:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 4 n1: 4 rs: Final st: NotStopd id: Sodium (135-148) t0: [21:29:00 06/03/2016] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd
id: Service Type t0: [22:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Service Type t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [22:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Code Status t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [22:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Risk for Falls t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [22:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Frequency t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [22:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [22:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [22:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 101 n1: 101 u1: BPM st: NotStopd id: Heart Rate t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 124 n1: 124 u1: BPM st: NotStopd id: Heart Rhythm t0: [22:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Heart Rhythm t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 178 n1: 178 u1: mmHg v2: 85 n2: 85 u2: mmHg st: NotStopd id: Precautions t0: [22:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: Precautions t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [22:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [22:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [22:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [22:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [22:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 33 n1: 33 u1: BPM st: NotStopd id: Respiratory Rate t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: BPM st: NotStopd id: Temperature C (calc) t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: calprevflg t0: [22:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: Temp. Site t0: [23:00:00 06/03/2016] el: 0 cg: CoWker cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [23:00:00 06/03/2016] el: 0 cg: CoWker cu: CCU v1: 37.0556 n1: 37.0556 u1: Deg. C st: NotStopd id: Temperature F t0: [23:00:00 06/03/2016] el: 0 cg: CoWker cu: CCU v1: 98.7 n1: 98.7 u1: Deg. F st: NotStopd
id: Trach Insert Date t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: FiO2 Set t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 42 n1: 42 u1: BPM st: NotStopd id: Airway Size t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 36.4 n1: 36.4 u1: Deg. C st: NotStopd id: Intubation Date t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Minute Volume(Obser) t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 8 n1: 8 u1: L/min st: NotStopd id: PEEP Set t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Resp Rate (Total) t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 36 n1: 36 u1: BPM st: NotStopd id: Ve High t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 92 n1: 92 u1: % st: NotStopd id: Sputum Color/Consist t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 220 n1: 220 u1: ml/B st: NotStopd id: Trach Cuff/Fenestra t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd id: Ventilator Mode t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [00:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: Service Type t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 114 n1: 114 u1: BPM st: NotStopd id: Heart Rhythm t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: NBP t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 166 n1: 166 u1: mmHg v2: 66 n2: 66 u2: mmHg st: NotStopd id: NBP Mean t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 91 n1: 91 u1: mmHg st: NotStopd id: Precautions t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 37 n1: 37 u1: BPM st: NotStopd id: calprevflg t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [00:00:00 07/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 10 vu: ml id: .9% Normal Saline 1000.0ml t0: [23:00:00 06/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 30 vu: ml id: Tube Feeding t0: [00:00:00 07/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 45 vu: ml id: Tube Feeding t0: [23:00:00 06/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 135 vu: ml
id: Less Restrict Meas. t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Range of Motion t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Circulation/SkinInt t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Riker-SAS Scale t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Agitated st: NotStopd id: Daily Wake Up t0: [23:15:00 06/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Diet Type t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: GI#1 Intub Site t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Education Topic #1 t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: GCS Total t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GU Cath Insert Date t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: Impaired Skin Site#1 t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: Level of Conscious t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: Orientation t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position Change t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Reason For Restraint t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Restraint Location t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Support Systems t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: Urine Source t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Pt./Family Informed t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Frict/Shear t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden Score t0: [20:00:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: Service Type t0: [02:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [02:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [02:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [02:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [02:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [02:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [02:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Health Care Proxy t0: [02:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [02:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 88 n1: 88 u1: BPM st: NotStopd id: Heart Rhythm t0: [02:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [02:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [02:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Precautions t0: [02:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [02:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [02:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [02:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [02:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [02:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: SpO2 t0: [02:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [02:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [02:00:00 07/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [02:00:00 07/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml
id: Urine Out Foley t0: [02:00:00 07/03/2016] el: 1 cg: RN cu: CCU vo: 110 vu: ml id: Urine Out Foley t0: [23:00:00 06/03/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
pi: 4589168 hi: 10949 t0: [04:00:00 07/03/2016] tf: [20:00:00 07/03/2016] mn: Alteplase (Catheter Clearance) pt: Unit Dose st: Discontinued via patient discharge rt: IV fr: ONCE MR1 ds: 4 dn: 1 dt: 1 di: Doses xv: 36 xu: Hours
id: Service Type t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 85 n1: 85 u1: BPM st: NotStopd id: Heart Rhythm t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: mmHg v2: 43 n2: 43 u2: mmHg st: NotStopd id: NBP Mean t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 56 n1: 56 u1: mmHg st: NotStopd id: Precautions t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: SpO2 t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 99 n1: 99 u1: % st: NotStopd id: calprevflg t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: FiO2 Set t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 42 n1: 42 u1: BPM st: NotStopd id: Airway Size t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 36.9 n1: 36.9 u1: Deg. C st: NotStopd id: Intubation Date t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Minute Volume(Obser) t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 6.4 n1: 6.4 u1: L/min st: NotStopd id: PEEP Set t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 17 n1: 17 u1: . st: NotStopd id: Resp Rate (Total) t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 23 n1: 23 u1: BPM st: NotStopd id: Ve High t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: SpO2 t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 100 n1: 100 u1: % st: NotStopd id: Sputum Color/Consist t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: Tan v2: Thick st: NotStopd id: Sputum Source/Amt t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 290 n1: 290 u1: ml/B st: NotStopd id: Ventilator Mode t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: Drager st: NotStopd
id: NBP Mean t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 107 n1: 107 u1: mmHg st: NotStopd id: SpO2 t0: [23:15:00 06/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % st: NotStopd
id: Trach Insert Date t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 2 n1: 2 v2: 16 n2: 16 st: NotStopd id: Cuff Leak t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: No st: NotStopd id: Trach Cuff/Fenestra t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: Yes v2: No st: NotStopd id: Trach Size t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: #7 st: NotStopd id: Tracheostomy Cuff t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: Inflated st: NotStopd id: Tracheostomy Type t0: [05:00:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: Portex st: NotStopd
id: RSBI (<100) t0: [05:30:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 112.36 n1: 112.36 u1: units st: NotStopd id: RSBI (<200) t0: [05:30:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 112.36 n1: 112.36 u1: units st: NotStopd id: Spon RR (Mech.) t0: [05:30:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 30 n1: 30 u1: BPM st: NotStopd id: Spon. Vt (L) (Mech.) t0: [05:30:00 07/03/2016] el: 0 cg: RRT cu: CCU v1: 0.267 n1: 0.267 u1: L st: NotStopd
id: Service Type t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Ectopy Frequency t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Eye Opening t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GU Cath Insert Date t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: HOB t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 100 n1: 100 u1: BPM st: NotStopd id: Heart Rhythm t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: Activity t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: Activity Tolerance t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: LL Strength/Movement t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LU Strength/Movement t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: Level of Conscious t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 121 n1: 121 u1: mmHg v2: 54 n2: 54 u2: mmHg st: NotStopd id: NBP Mean t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Oral Care t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Care t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Position t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Assistance Device t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Assistance Device t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: RU Strength/Movement t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: Respiratory Pattern t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 28 n1: 28 u1: BPM st: NotStopd id: Therapeutic Bed t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Therapeutic Bed t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [00:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Turn t0: [04:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Turn t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Source t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [06:30:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: calprevflg t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [06:00:00 07/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 40 vu: ml id: Tube Feeding t0: [06:00:00 07/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 180 vu: ml id: Urine Out Foley t0: [06:00:00 07/03/2016] el: 1 cg: RN cu: CCU vo: 110 vu: ml
id: Education Topic #1 t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: INV Line#3InsertDate t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Imp Skin Cleanse #1 t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Normal Saline st: NotStopd id: ImpSkin Character #1 t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Wound Base#1 t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: INV#3 Dsg Change t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 4 n2: 4 st: NotStopd id: Side Rails t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Color t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Support Systems t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: Pt./Family Informed t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Braden Activity t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [06:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: WBC (4-11,000) t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 14.7 n1: 14.7 rs: Final st: NotStopd id: WBC t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 14.7 n1: 14.7 rs: Final st: NotStopd id: Hematocrit t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 27.6 n1: 27.6 u1: % rs: Final st: NotStopd id: Hemoglobin t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 9 n1: 9 u1: gm/dl rs: Final st: NotStopd id: Platelets t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 558 n1: 558 rs: Final st: NotStopd id: RBC t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.97 n1: 2.97 u1: /mic l rs: Final st: NotStopd id: WBC (4-11,000) t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 14.7 n1: 14.7 rs: Final st: NotStopd
id: FiO2 Set t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 42 n1: 42 u1: BPM st: NotStopd id: Airway Size t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 37.1 n1: 37.1 u1: Deg. C st: NotStopd id: Intubation Date t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Minute Volume(Obser) t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 8.3 n1: 8.3 u1: L/min st: NotStopd id: PEEP Set t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 17 n1: 17 u1: . st: NotStopd id: Resp Rate (Total) t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 27 n1: 27 u1: BPM st: NotStopd id: Tank A psi. t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 302 n1: 302 u1: ml/B st: NotStopd id: Ventilator Mode t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: Drager st: NotStopd
id: BUN t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 rs: Final st: NotStopd id: Calcium t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 9.8 n1: 9.8 u1: mg/dl rs: Final st: NotStopd id: Chloride t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Magnesium t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 5.6 n1: 5.6 u1: mEq/L rs: Final st: NotStopd id: Potassium t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd id: BUN (6-20) t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 49 n1: 49 rs: Final st: NotStopd id: Calcium (8.4-10.2) t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 9.8 n1: 9.8 u1: mg/dl rs: Final st: NotStopd id: Carbon Dioxide t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 29 n1: 29 rs: Final st: NotStopd id: Chloride (100-112) t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 104 n1: 104 rs: Final st: NotStopd id: Creatinine (0-1.3) t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 0.9 n1: 0.9 rs: Final st: NotStopd id: Glucose (70-105) t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 102 n1: 102 rs: Final st: NotStopd id: Magnesium (1.6-2.6) t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 2.7 n1: 2.7 rs: Final st: NotStopd id: Phosphorous(2.7-4.5) t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 5.6 n1: 5.6 u1: mEq/L rs: Final st: NotStopd id: Potassium (3.5-5.3) t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 4.3 n1: 4.3 rs: Final st: NotStopd id: Sodium (135-148) t0: [05:56:00 07/03/2016] el: 0 cg: 1663 cu: CCU v1: 144 n1: 144 rs: Final st: NotStopd
id: Less Restrict Meas. t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [08:00:00 07/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Follows Commands t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: BPM st: NotStopd id: Heart Rhythm t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Sinus Tachy st: NotStopd id: INV Line#3 Type/Site t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Wound Base#1 t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LL Strength/Movement t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP Mean t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 71 n1: 71 u1: mmHg st: NotStopd id: Oral Care t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Position Change t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 4 n2: 4 st: NotStopd id: HR Alarm (Lo/Hi) t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 31 n1: 31 u1: BPM st: NotStopd id: Restraint Location t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Color t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Support Systems t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: Temp. Site t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 37.1667 n1: 37.1667 u1: Deg. C st: NotStopd id: Temperature F t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 98.9 n1: 98.9 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Left Side st: NotStopd id: Urine Color/Appear t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd id: Braden Moisture t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 16 n1: 16 u1: number st: NotStopd id: Braden SensoryPercep t0: [08:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [08:00:00 07/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [08:00:00 07/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [08:00:00 07/03/2016] el: 1 cg: RN cu: CCU vo: 15 vu: ml
id: Cuff Pressure-Airway t0: [07:40:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 15 n1: 15 u1: cmH2O st: NotStopd
id: Service Type t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 75 n1: 75 u1: BPM st: NotStopd id: Heart Rhythm t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: NBP t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 86 n1: 86 u1: mmHg v2: 46 n2: 46 u2: mmHg st: NotStopd id: NBP Mean t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 53 n1: 53 u1: mmHg st: NotStopd id: Precautions t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 26 n1: 26 u1: BPM st: NotStopd id: calprevflg t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [10:00:00 07/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [10:00:00 07/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [10:00:00 07/03/2016] el: 1 cg: RN cu: CCU vo: 120 vu: ml
id: FiO2 Set t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 0.4 n1: 0.4 u1: torr st: NotStopd id: High Insp. Pressure t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 35 n1: 35 u1: cmH2O st: NotStopd id: High Resp. Rate t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 42 n1: 42 u1: BPM st: NotStopd id: Airway Size t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 7.0 mm st: NotStopd id: Airway Type t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: Tracheostomy st: NotStopd id: Inspired Gas Temp t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 36.7 n1: 36.7 u1: Deg. C st: NotStopd id: Intubation Date t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 2 n1: 2 v2: 6 n2: 6 st: NotStopd id: Low Exhaled Min Vol t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 3 n1: 3 st: NotStopd id: MDI #1 (Puff/Drug) t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 6 n1: 6 v2: Albuterol st: NotStopd id: MDI #2 (Puff/Drug) t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 6 n1: 6 v2: Atrovent st: NotStopd id: Minute Volume(Obser) t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 9.4 n1: 9.4 u1: L/min st: NotStopd id: PEEP Set t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 5 n1: 5 u1: cmH2O st: NotStopd id: Apnea Time Interval t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 20 n1: 20 st: NotStopd id: Pressure Support t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 17 n1: 17 u1: . st: NotStopd id: Resp Rate (Total) t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 35 n1: 35 u1: BPM st: NotStopd id: Tank A psi. t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 2200 n1: 2200 st: NotStopd id: Tank B psi. t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 1800 n1: 1800 st: NotStopd id: Ve High t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 15 n1: 15 st: NotStopd id: Sensitivity-Vent t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 2 n1: 2 u1: cmH2O st: NotStopd id: Sputum Color/Consist t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: Yellow v2: Thick st: NotStopd id: Sputum Source/Amt t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: Suctioned v2: Small st: NotStopd id: Tidal Volume (Spont) t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: 317 n1: 317 u1: ml/B st: NotStopd id: Ventilator Mode t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: CPAP+PS st: NotStopd id: Ventilator Type t0: [11:25:00 07/03/2016] el: 0 cg: MS cu: CCU v1: Drager st: NotStopd
id: Less Restrict Meas. t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Less Restrict Meas. t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Orientation st: NotStopd id: Pain Present t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: No st: NotStopd id: Range of Motion t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Range of Motion t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Pain Assess Method t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Grimace Scale st: NotStopd id: Service Type t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Circulation/SkinInt t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Circulation/SkinInt t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Circulation Adeq st: NotStopd id: Code Status t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Riker-SAS Scale t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [12:00:00 07/03/2016] el: 1 cg: RN cu: CCU v1: No/Not Sedated st: NotStopd id: Risk for Falls t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Alarms t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: Health Care Proxy t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Education Topic #1 t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Activity st: NotStopd id: Eye Opening t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 4 Spontaneously st: NotStopd id: Family Communication t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Family Visited st: NotStopd id: Follows Commands t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Consistently st: NotStopd id: GCS Total t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 11 n1: 11 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: PEG v2: Abdomen st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 17 n2: 17 st: NotStopd id: GU Catheter Size t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 18 French st: NotStopd id: HOB t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 30 degrees st: NotStopd id: Heart Rate t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: INV Line#3 Type/Site t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: PICC line v2: Left Antecub st: NotStopd id: INV Line#3InsertDate t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 2 n1: 2 v2: 20 n2: 20 st: NotStopd id: INV Line#3SiteAppear t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Soft st: NotStopd id: Activity t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Good st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Neck st: NotStopd id: LL Strength/Movement t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: LLL Lung Sounds t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: LU Strength/Movement t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Lifts and Holds st: NotStopd id: LUL Lung Sounds t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Alert st: NotStopd id: Motor Response t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 6 Obeys Commands st: NotStopd id: NBP t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 97 n1: 97 u1: mmHg v2: 45 n2: 45 u2: mmHg st: NotStopd id: NBP Mean t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 57 n1: 57 u1: mmHg st: NotStopd id: Oral Care t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Oral Cavity t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Teeth/Tissue WNL st: NotStopd id: Orientation t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Unable to Assess st: NotStopd id: Pain Location t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Not Indicated st: NotStopd id: Pain Type t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Position t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Position Change t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Position Change t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 2 Person Assist st: NotStopd id: Precautions t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: INV#3 Dsg Change t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 4 n2: 4 st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Pupil Response R/L t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: RLL Lung Sounds t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Normal Strength st: NotStopd id: RUL Lung Sounds t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Coarse st: NotStopd id: Reason For Restraint t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Reason For Restraint t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Ext/TXInterfere st: NotStopd id: Removed x 5 Mins t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Removed x 5 Mins t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Respiratory Pattern t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Regular st: NotStopd id: Respiratory Rate t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 32 n1: 32 u1: BPM st: NotStopd id: Restraint Location t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Location t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Both Arms st: NotStopd id: Restraint Type t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraint Type t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Soft Limb st: NotStopd id: Restraints Evaluated t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Restraints Evaluated t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Behavior Conts st: NotStopd id: Side Rails t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Side Rails t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: All rails up st: NotStopd id: Skin Care t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: Skin Color t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Normal for Race st: NotStopd id: Skin Integrity t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Impaired st: NotStopd id: Skin Temp/Condition t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Warm v2: Dry st: NotStopd id: Spontaneous Movement t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Purposeful st: NotStopd id: Stool Color/Consist t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Brown v2: Soft st: NotStopd id: Support Systems t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Children st: NotStopd id: INV#3 Cap Change t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: INV#3 Tubing Change t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 3 n1: 3 v2: 1 n2: 1 st: NotStopd id: Temp. Site t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Oral st: NotStopd id: Temperature C (calc) t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 37.4444 n1: 37.4444 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 99.4 n1: 99.4 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: AtmosAir Mattres st: NotStopd id: Turn t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Right Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yellow v2: Clear st: NotStopd id: Urine Source t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 1.0 ET/Trach st: NotStopd id: Back Care t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Done st: NotStopd id: calprevflg t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd id: Pt./Family Informed t0: [10:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Pt./Family Informed t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Bowel Sounds t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Present st: NotStopd id: Braden Activity t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Chairfast st: NotStopd id: Braden Frict/Shear t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Potential Prob st: NotStopd id: Braden Mobility t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Very Limited st: NotStopd id: Braden Moisture t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Occ. Moist st: NotStopd id: Braden Nutrition t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Adequate st: NotStopd id: Braden Score t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 15 n1: 15 u1: number st: NotStopd id: Braden SensoryPercep t0: [12:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Sl. Limited st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [12:00:00 07/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [12:00:00 07/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [12:00:00 07/03/2016] el: 1 cg: RN cu: CCU vo: 220 vu: ml
id: IV Infusion In Total t0: [23:00:00 07/03/2016] el: 2 cg: RN cu: CCU cv: 150 ac: 24 ap: none re: 0 id: 24h Total In t0: [23:00:00 07/03/2016] el: 2 cg: RN cu: CCU cv: 825 ac: 24 ap: none re: 0 id: Total Hourly Output t0: [23:00:00 07/03/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: Tube Feeds In Total t0: [23:00:00 07/03/2016] el: 2 cg: RN cu: CCU cv: 675 ac: 24 ap: none re: 0 id: Urine Out Total t0: [23:00:00 07/03/2016] el: 2 cg: RN cu: CCU cv: 675 ac: 24 ap: none re: 0 id: 24h Net Body Balance t0: [23:00:00 07/03/2016] el: 2 cg: RN cu: CCU cv: 150 ac: 24 ap: none re: 0 id: LOS Net Body Balance t0: [23:00:00 07/03/2016] el: 2 cg: RN cu: CCU cv: 1954.23 ac: multiple days ap: carryForward re: 0 id: Net Hourly Balance t0: [23:00:00 07/03/2016] el: 2 cg: RN cu: CCU cv: 0 ac: 1 ap: none re: 0 id: 24h Total Out t0: [23:00:00 07/03/2016] el: 2 cg: RN cu: CCU cv: 675 ac: 24 ap: none re: 0
id: Service Type t0: [14:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: CCU st: NotStopd id: Code Status t0: [14:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Full Code st: NotStopd id: Risk for Falls t0: [14:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Ectopy Frequency t0: [14:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Ectopy Type t0: [14:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: None st: NotStopd id: Health Care Proxy t0: [14:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Yes st: NotStopd id: Heart Rate t0: [14:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 96 n1: 96 u1: BPM st: NotStopd id: Heart Rhythm t0: [14:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Normal Sinus st: NotStopd id: Precautions t0: [14:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: Contact st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 50 n1: 50 u1: BPM v2: 130 n2: 130 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 80 n1: 80 u1: mmHg v2: 185 n2: 185 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 8 n1: 8 u1: BPM v2: 35 n2: 35 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 90 n1: 90 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [14:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 38 n1: 38 u1: BPM st: NotStopd id: calprevflg t0: [14:00:00 07/03/2016] el: 0 cg: RN cu: CCU v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 1000.0ml t0: [14:00:00 07/03/2016] el: 1 ai: 107 cg: RN cu: CCU vo: 20 vu: ml id: Tube Feeding t0: [14:00:00 07/03/2016] el: 1 ai: -1 cg: RN cu: CCU vo: 90 vu: ml id: Urine Out Foley t0: [14:00:00 07/03/2016] el: 1 cg: RN cu: CCU vo: 100 vu: ml
ci: 38552 t0: [18:30:00 15/02/2016] cu: CCU di: No Disch Status dt: 44527